Face2Face Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8136-C Issued in AR

Legal business name

FACE2FACE THERAPY LLC

Practice address

603 Harkrider St
Conway, AR 72032-5633

Phone

(501) 514-0417

NPI assigned

Jul 19, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Campagna, LCSW

Title

Owner/Manager

Phone

(501) 514-0417

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1518444843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HARKRIDER ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HARKRIDER ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325633",
            "telephone_number": "501-514-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Harkrider St",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720325633",
            "country_code": "US",
            "telephone_number": "501-514-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACE2FACE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "501-514-0417",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8136-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Conway, AR
• Providers in Conway, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.