Organization
TCIY MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI JO SMITH (OFFICE MANAGER)
(479) 295-3325
Entity
Organization
Contact information
Practice address
906 NW 8TH ST, BENTONVILLE, AR 72712-4561
(479) 295-3325
(888) 630-4808
Mailing address
PO BOX 155, PEA RIDGE, AR 72751-2125
(479) 295-3325
(888) 630-4808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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