Organization
HOPE & HEALING OF NEA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LUCAS LEWALLEN LCSW (OWNER)
(870) 926-5710
Entity
Organization
Contact information
Practice address
2701 S CARAWAY RD STE B1, JONESBORO, AR 72401-7336
(870) 926-5710
Mailing address
680 COUNTY ROAD 793, BROOKLAND, AR 72417-8778
(870) 926-5710
(870) 292-3431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
06/29/2023
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