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2200 Main St North Little Rock AR 72114 | |
| (501) 758-4671 | |
| (501) 758-4704 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2200 Main St, North Little Rock, Arkansas |
| Authorized Official Name and Position | William R. Barling (OWNER) |
| Authorized Official Contact | 5017584671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5789 North Little Rock AR 72119 Ph: (501) 758-4671 | 2200 Main St North Little Rock AR 72114 Ph: (501) 758-4671 |
| NPI Number | 1760598809 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760598809 | NPI | - | NPPES |
| A0001 | Other | AR | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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