Living Well, Pa is a Counselor Clinic in Little Rock, Arkansas. It is located at 1225 Breckenridge Dr, Suite 204, Little Rock, AR and its contact number is 501-255-1574. The authorized person for Living Well, Pa is Dr. Jody Lynn Hagen
who is President of the clinic and his/her contact number is 501-255-1574. The primary license number for Living Well, Pa is 04-16P (Clinical Neuropsychologist) in Arkansas. Living Well, Pa Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Living Well, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Living Well, Pa
Specialization:
Clinical Neuropsychologist
Clinic Address:
1225 Breckenridge Dr, Suite 204, Little Rock, Arkansas, 72205-1558
Phone:
501-255-1574
Fax:
501-255-1446
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jody Lynn Hagen
Position:
President
Contact Number:
501-255-1574
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Living Well, Pa clinic are as mentioned below.
NPI Number:
1316197759
NPI Enumeration Date:
23 Sep, 2008
NPI Last Update On:
23 Sep, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Living Well, Pa are as mentioned below.
Specialization
License Number
State
Status
Clinical Neuropsychologist
04-16P
Arkansas
Primary
Clinical
04-16P
Arkansas
Secondary
Clinical Child & Adolescent
04-16P
Arkansas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Living Well, Pa Po Box 206, Mabelvale, Arkansas
Zip:
72103-0206
Phone Number:
501-255-1574
Fax Number:
501-255-1446
Patients can reach Living Well, Pa at 1225 Breckenridge Dr, Suite 204, Little Rock, Arkansas or can call to book an appointment on 501-255-1574. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.