| A Time For Peace Pllc | |
|
208 Cobean Blvd Lake City AR 72437-9704 | |
| (870) 237-1329 | |
| (877) 415-1647 |
| Full Name | A Time For Peace Pllc |
|---|---|
| Speciality | Counselor |
| Location | 208 Cobean Blvd, Lake City, Arkansas |
| Authorized Official Name and Position | April D Timms (OWNER/LPC) |
| Authorized Official Contact | 8702371329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Time For Peace Pllc 208 Cobean Blvd Lake City AR 72437-9704 Ph: (870) 237-1329 | A Time For Peace Pllc 208 Cobean Blvd Lake City AR 72437-9704 Ph: (870) 237-1329 |
| NPI Number | 1912392549 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 1850627415 |
|---|---|
| Medicare Enrollment ID | O20200901000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912392549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1303018 (Arkansas) | Primary |
| Provider Name | Angie D Hicks-master |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255405353 PECOS PAC ID: 5496858110 Enrollment ID: I20070316000197 |
| Provider Name | Amber Fawn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962789826 PECOS PAC ID: 9830571504 Enrollment ID: I20220728001349 |