Organization
MARTIN THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MARTIN LPC (OWNER)
(870) 704-9711
Entity
Organization
Contact information
Practice address
1003 N MAIN ST, HARRISON, AR 72601-2517
(870) 204-6016
(855) 386-7000
Mailing address
PO BOX 1102, HARRISON, AR 72602-1102
(870) 704-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1302015
STATE LICENSE
AR
Enumeration date
05/15/2020
Last updated
05/15/2020
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