Healthcare Provider Details

I. General information

NPI: 1457012254
Provider Name (Legal Business Name): CURATED HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 HENRI DE TONTI BLVD SUITE C
SPRINGDALE AR
72762
US

IV. Provider business mailing address

1345 HENRI DE TONTI BLVD SUITE C
SPRINGDALE AR
72762
US

V. Phone/Fax

Practice location:
  • Phone: 479-234-0958
  • Fax:
Mailing address:
  • Phone: 479-234-0958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY L. GEORGE
Title or Position: CEO
Credential: PHD, LPC-S, LADAC
Phone: 479-234-0958