Organization
FAITH RISING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN QUALLS LPC (THERAPIST/OWNER)
(479) 567-1864
Entity
Organization
Contact information
Practice address
104 LOCK AND DAM RD, RUSSELLVILLE, AR 72802-9725
(479) 567-1864
Mailing address
794 FLURRY RD, DELAWARE, AR 72835-9317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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