Organization
LILLIES IN THE VALLEY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNIE BEATRICE WALLACE, MS LAC (MENTAL HEALTH THERAPIST)
(501) 553-5539
Entity
Organization
Contact information
Practice address
104 SONNET ST, HOT SPRINGS, AR 71913-4437
(501) 553-5539
Mailing address
PO BOX 1011, HOT SPRINGS, AR 71902-1011
(501) 553-5539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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