LIVING HOPE SOUTHEAST LLC NPI 1689877862

NPI Information

LIVING HOPE SOUTHEAST, LLC is a mental health counselor in Little Rock, AR. LIVING HOPE SOUTHEAST, LLC NPI is 1689877862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10025 W MARKHAM ST STE 210
LITTLE ROCK, AR
ZIP 72205-178
Phone: (501) 663-5473
Fax: (501) 801-1816

The provider's authorized official is Lynne Lindsay .
The authorized official title is Business Operations Coordinator and has the following contact phone number (501) 663-5473.

The CLIA number assigned to this NPI record is 04D2215047 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 7/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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