NPI 1023865979 · live from the CMS NPI Registry
Aw Therapy Service, LLC
Social Worker, Clinical in Siloam Springs, AR. National Provider Identifier 1023865979, active.
NPI record
| NPI | 1023865979 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 608 S Hico St, Siloam Springs, AR 72761 |
| Practice phone | 870-321-0252 |
| Mailing address | 313 Ramsey St, Gentry, AR 72734 |
| Enumerated | April 30, 2024 |
| Last updated | March 19, 2025 |
| Authorized official | Allison Wallace, Owner |
| Other names | Sager Creek Counseling Collective |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.