Organization
MAXUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED SHUL (CEO)
(870) 647-2541
Entity
Organization
Contact information
Practice address
132 W 2ND ST, MALVERN, AR 72104-3708
(501) 776-1191
(501) 776-1194
Mailing address
1033 OLD BURR RD, WARM SPRINGS, AR 72478-9077
(870) 647-2541
(870) 647-2145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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