Organization
CREATING SPACE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEIGH KATHLEEN EDWARDS MS, LAC, NCC (PROVIDER)
(918) 521-7989
Entity
Organization
Contact information
Practice address
7509 CANTRELL RD STE 205, LITTLE ROCK, AR 72207-2500
(501) 396-9308
Mailing address
8240 NORA LN, SHERWOOD, AR 72120-9693
(918) 521-7989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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