Organization
LW BREWER WELLNESS ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA W BREWER PHD (OWNER/PSYCHOLOGIST)
(501) 246-0265
Entity
Organization
Contact information
Practice address
2725 CANTRELL RD, STE 106, LITTLE ROCK, AR 72202-2016
(501) 246-0265
(501) 734-8262
Mailing address
47 CRYSTALWOOD DR, LITTLE ROCK, AR 72210-5397
(501) 246-0265
(501) 734-8262
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
10-00P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376792796
INDIVIDUAL NPI
—
Enumeration date
01/20/2017
Last updated
01/20/2017
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