| Ar Nextstep Counseling Services, Llc | |
|
2315 E Matthews Ave Jonesboro AR 72401-4415 | |
| (870) 277-4357 | |
| (870) 572-2892 |
| Full Name | Ar Nextstep Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2315 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Kendell Camp (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8702774357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ar Nextstep Counseling Services, Llc Po Box 1254 Jonesboro AR 72403-1254 Ph: (901) 205-9882 | Ar Nextstep Counseling Services, Llc 2315 E Matthews Ave Jonesboro AR 72401-4415 Ph: (870) 277-4357 |
| NPI Number | 1801436126 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Medicare PECOS PAC ID | 1759703010 |
|---|---|
| Medicare Enrollment ID | O20200616000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801436126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kendell D Camp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861431082 PECOS PAC ID: 9638273444 Enrollment ID: I20070404000434 |
| Provider Name | Cori A Dyson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730304874 PECOS PAC ID: 8325147531 Enrollment ID: I20070628000049 |
| Provider Name | Olimpia Rosario |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1225242043 PECOS PAC ID: 7012183692 Enrollment ID: I20120103000389 |
| Provider Name | Ronald A Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053557140 PECOS PAC ID: 3072837939 Enrollment ID: I20150123001657 |
| Provider Name | Benjamin R Merritt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831459098 PECOS PAC ID: 1355688334 Enrollment ID: I20190129002618 |
| Provider Name | Shannon L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366747842 PECOS PAC ID: 8325385164 Enrollment ID: I20190131002832 |
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