Organization
LEAD TEACH MENTOR, LLC
Active
Other names
Thriveworks Conway
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS ROBINSON (OFFICE MANAGER)
(501) 745-6644
Entity
Organization
Contact information
Practice address
575 CLUB LN, SUITE 103, CONWAY, AR 72034-3681
(501) 745-6644
Mailing address
1059 VISTA PARK DR, SUITE B, FOREST, VA 24551-4253
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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