Individual
TIERRA MICHELLE EASTERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1517 CALDWELL ST, CONWAY, AR 72034-5240
(501) 770-7875
Mailing address
1517 CALDWELL ST, CONWAY, AR 72034-5240
(501) 770-7875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2602023
AR
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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