Organization
ABSOLUTE INDIVIDUAL AND FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY D ADAMS LMFT (OWNER LMFT)
(479) 274-0305
Entity
Organization
Contact information
Practice address
16135 HIGHWAY 71 S, GREENWOOD, AR 72936-7218
(479) 274-0305
Mailing address
16135 HIGHWAY 71 S, GREENWOOD, AR 72936-7218
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224462795
—
AR
Enumeration date
07/13/2022
Last updated
07/13/2022
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