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NPI Code Detail

MEDICARE: LIFE WITHIN COUNSELING GROUP, LLC

MEDICARE: LIFE WITHIN COUNSELING GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP1412126AR
2101YP2500XProfessional CounselorP1412126AR

General Provider Information

NPI Number : 1477051654
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE WITHIN COUNSELING GROUP, LLC
Provider Business Mailing Address
First Line : 106 N PECAN ST
Second Line :
City : BEEBE
State : AR
Zip : 72012-2524
Country : US
Telephone Number : 501-434-0000
Fax Number : 501-242-0820
Provider Business Practice Location Address
First Line : 106 N PECAN ST
Second Line :
City : BEEBE
State : AR
Zip : 72012-2524
Country : US
Telephone Number : 501-434-0000
Fax Number : 501-242-0820
Authorized Official
Title or Position : OWNER/THERAPIST
Name : THOMAS DALE RITCHIE JR.
Credential : LPC
Telephone Number : 501-434-0000
Provider Enumeration Date : 01/23/2018
Last Update Date : 08/28/2025

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Directions to “LIFE WITHIN COUNSELING GROUP, LLC ” Practice Location

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