Organization
LIVING HOPE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHANNON CENTERS (DIRECTOR OF OPERATIONS)
(501) 663-5473
Entity
Organization
Contact information
Practice address
100 S UNIVERSITY AVE, SUITE 401, LITTLE ROCK, AR 72205-5213
(501) 663-5473
(501) 801-1816
Mailing address
100 S UNIVERSITY AVE, SUITE 401, LITTLE ROCK, AR 72205-5213
(501) 663-5473
(501) 801-1816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146337726
—
AR
Enumeration date
08/21/2006
Last updated
05/27/2008
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