Arkansas Behavioral Center (abc), Llc | |
9101 Kanis Rd #201 Little Rock AR 72205-6456 | |
(501) 960-5779 | |
(501) 537-0176 |
Full Name | Arkansas Behavioral Center (abc), Llc |
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Speciality | Community/Behavioral Health |
Location | 9101 Kanis Rd, Little Rock, Arkansas |
Authorized Official Name and Position | Krameelah Marshae Banks (PSYCHOLOGIST) |
Authorized Official Contact | 5019605779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arkansas Behavioral Center (abc), Llc 9101 Kanis Rd #201 Little Rock AR 72205-6456 Ph: (501) 960-5779 | Arkansas Behavioral Center (abc), Llc 9101 Kanis Rd #201 Little Rock AR 72205-6456 Ph: (501) 960-5779 |
NPI Number | 1457609869 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Medicare PECOS PAC ID | 4981853744 |
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Medicare Enrollment ID | O20121011000384 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457609869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 05-13P (Arkansas) | Primary |
Provider Name | Krameelah Banks |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245291970 PECOS PAC ID: 6901810381 Enrollment ID: I20131120001424 |
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