Organization
WHITE RIVER HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(214) 549-8651
Entity
Organization
Contact information
Practice address
63 CIFUENTES WAY, HOT SPRINGS VILLAGE, AR 71909-7440
(214) 549-8651
Mailing address
63 CIFUENTES WAY, HOT SPRINGS VILLAGE, AR 71909-7440
(214) 549-8651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3808693
—
TX
Enumeration date
04/18/2018
Last updated
08/02/2023
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