OrganizationActive
Activelife Counseling, LLC
NPI 1053918169 · Professional Counselor · Fayetteville, AR
Provider details
- NPI number
- 1053918169
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rachel Wirth, Clinician, Owner(479) 601-6507
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2863 E Hyland Park Rd
Fayetteville, AR 72701-3818
Phone: (479) 601-6507
Approximate (ZIP-level) locationGet directions
Mailing address
2863 E Hyland Park Rd
Fayetteville, AR 72701-3818
Registry dates
- Enumerated
- 2020-10-02
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.