Organization
LIFE ANEW THERAPY AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE MORMON LCSW (OWNER/CLINICAL MANAGER)
(501) 209-7522
Entity
Organization
Contact information
Practice address
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
(501) 209-7522
Mailing address
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201-3438
(501) 209-7522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
09/12/2024
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