| Alliant Behavioral Health Llc | |
|
1511 W Sevier St Benton AR 72019-2437 | |
| (501) 205-0703 | |
| (501) 778-4889 |
| Full Name | Alliant Behavioral Health Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1511 W Sevier St, Benton, Arkansas |
| Authorized Official Name and Position | Shannon Douglas Parsons (OWNER) |
| Authorized Official Contact | 5012050703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliant Behavioral Health Llc Po Box 280 Benton AR 72018-0280 Ph: (501) 205-0703 | Alliant Behavioral Health Llc 1511 W Sevier St Benton AR 72019-2437 Ph: (501) 205-0703 |
| NPI Number | 1649560376 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649560376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 10-25P (Arkansas) | Primary |
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