Organization
COLLECTIVE PLLC
Active
Other names
The Collective
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAYSHA K CLARK LPC (OWNER/THERAPIST)
(501) 424-0555
Entity
Organization
Contact information
Practice address
10201 W MARKHAM ST STE 203, LITTLE ROCK, AR 72205-2181
(501) 424-0555
(501) 500-2666
Mailing address
10201 W MARKHAM ST STE 203, LITTLE ROCK, AR 72205-2181
(501) 424-0555
(501) 500-2666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231027795
—
AR
Enumeration date
06/17/2019
Last updated
10/07/2021
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