| All Things Are Possible 4 Autism; All Things Are Possible 4 U; | |
|
1305 Arkansas Blvd Ste 104 Texarkana AR 71854-1691 | |
| (970) 330-9702 | |
| (870) 330-9646 |
| Full Name | All Things Are Possible 4 Autism; All Things Are Possible 4 U; |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1305 Arkansas Blvd Ste 104, Texarkana, Arkansas |
| Authorized Official Name and Position | Koteka Shantal Jenkins (COO) |
| Authorized Official Contact | 9034715132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Things Are Possible 4 Autism; All Things Are Possible 4 U; Po Box 5395 Bossier City LA 71171-5395 Ph: (318) 918-0671 | All Things Are Possible 4 Autism; All Things Are Possible 4 U; 1305 Arkansas Blvd Ste 104 Texarkana AR 71854-1691 Ph: (970) 330-9702 |
| NPI Number | 1609356096 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609356096 | NPI | - | NPPES |
| 372338903 | Medicaid | TX | |
| 233582526 | Medicaid | AR | |
| 372338902 | Medicaid | TX | |
| 387169101 | Medicaid | TX |
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