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Fulfilled Life Counseling, Llc
Adolescent and Children Mental Health Clinic/Center in Jonesboro, Arkansas
NPI 1932762754

Fulfilled Life Counseling, Llc is an Adolescent and Children Mental Health Clinic/Center based in Jonesboro, AR and is specialized in Adolescent and Children Mental Health. Fulfilled Life Counseling, Llc practices in Jonesboro, AR. The NPI Number for Fulfilled Life Counseling, Llc is 1932762754 and holds a License No. (Arkansas).

The current practice location address for Fulfilled Life Counseling, Llc is 1218 Stone St Ste 204, Jonesboro, AR and can be reached out via phone at 901-501-6091 and via fax at 870-466-4982.

Location: 1218 Stone St Ste 204, Jonesboro, AR, 72404-9101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932762754
Provider Name
Fulfilled Life Counseling, Llc
Credential
Provider Entity Type
Organization
Address
1218 Stone St Ste 204, Jonesboro, AR, 72404-9101
Phone Number
901-501-6091
Fax Number
870-466-4982
Provider Enumeration Date
04/17/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093088031 01 AR QUALCHOICE
1093088031 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
1218 Stone St Ste 204
City
Jonesboro
State
Arkansas
Zip
72401-4568
Phone Number
901-501-6091
Fax Number
870-466-4982
person
Provider Business Mailing Address Details
Address
1218 Stone St Ste 204
City
Jonesboro
State
Arkansas
Zip
72401-4568
Phone Number
901-501-6091
Fax Number
870-466-4982
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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