Organization · NPI-2

Lewallen & Felty PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Paragould, AR

NPI number1659801769
StatusActive
Last updated in NPPESSep 26, 2017

Details

NPI
1659801769
Entity type
Organization (NPI-2)
Legal business name
Lewallen & Felty PLLC
Organization subpart
No
Enumeration date
Jun 13, 2017
Last updated
Sep 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2210 W Kingshighway Ste 9
Paragould, AR 72450-3987

Phone 870-926-5710

Mailing address

611 County Road 763
Brookland, AR 72417-8951

Phone 870-926-5710

Authorized official

Larry Lucas Lewallen
Ceo
8709265710

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