Provider Demographics
NPI:1639569379
Name:AMY FLAHERTY
Entity Type:Organization
Organization Name:AMY FLAHERTY
Other - Org Name:TRUE HOPE COUNSELINGT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-725-8062
Mailing Address - Street 1:2200 FOWLER AVE STE B
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6194
Mailing Address - Country:US
Mailing Address - Phone:870-761-4673
Mailing Address - Fax:870-358-1041
Practice Address - Street 1:1300 ELM ST
Practice Address - Street 2:
Practice Address - City:MARKED TREE
Practice Address - State:AR
Practice Address - Zip Code:72365-2330
Practice Address - Country:US
Practice Address - Phone:870-761-4673
Practice Address - Fax:870-358-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR06-10E-I251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health