Activelife Counseling, Llc

LBN: Activelife Counseling, Llc
Activelife Counseling, Llc is an health care organization with primary practice located at 1792 E Joyce Blvd Ste 105 , Fayetteville AR 72703-5253. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Activelife Counseling, Llc can be contacted via phone (479) 358-7690, or through Henningsen, Rachel via phone (501) 413-8221.

Contact Information

Primary practice address
1792 E Joyce Blvd Ste 105 Fayetteville AR 72703-5253
Phone: (479) 358-7690
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henningsen, Rachel LAC, MS, EDS
Phone: (501) 413-8221

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1053918169
LBN Legal business name Activelife Counseling, Llc
DBA Doing business as
Authorized official Henningsen, Rachel LAC, MS, EDS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2020
Last updated Oct 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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