| Aich Counseling, Llc | |
|
915 Oak St Ste 103 Conway AR 72032-4389 | |
| (501) 725-1163 | |
| Not Available |
| Full Name | Aich Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 915 Oak St Ste 103, Conway, Arkansas |
| Authorized Official Name and Position | Susanna Lorraine Aich (OWNER) |
| Authorized Official Contact | 5013912793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aich Counseling, Llc 59 Southland Ct Maumelle AR 72113-6262 Ph: (501) 391-2793 | Aich Counseling, Llc 915 Oak St Ste 103 Conway AR 72032-4389 Ph: (501) 725-1163 |
| NPI Number | 1811502271 |
|---|---|
| Provider Enumeration Date | 09/12/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 9133548829 |
|---|---|
| Medicare Enrollment ID | O20200930000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811502271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Susanna Lorraine Aich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316322324 PECOS PAC ID: 0042639734 Enrollment ID: I20200930000157 |
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