Organization
LIFE STRATEGIES OF ARKANSAS
Active
Parent organization
LIFE STRATEGIES OF ARKANSAS LLC
Other names
Wynne Outpatient Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE STRATEGIES OF ARKANSAS LLC
Authorized official
MS. SHELLA POUNDS RN (COMPLIANCE OFFICER)
(870) 732-1878
Entity
Organization
Contact information
Practice address
1718 FALLS BLVD N, WYNNE, AR 72396-4022
(870) 238-4014
(870) 238-4231
Mailing address
703 CALVIN AVERY DR, SUITE A, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
(870) 702-7111
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
171535526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171535526
—
AR
Enumeration date
12/24/2008
Last updated
03/06/2013
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