RYAN RUSS LLC NPI 1740803683

NPI Information

RYAN RUSS LLC is a mental health counselor in Little Rock, AR. RYAN RUSS LLC NPI is 1740803683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 N BRYANT ST STE 310
LITTLE ROCK, AR
ZIP 72207-022
Phone: (501) 263-1576

The provider's authorized official is Rachel Mcdonald .
The authorized official title is Clinic Assistant and has the following contact phone number (501) 256-9791.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 5/27/2020.

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:

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