| Arkansas Behavioral Health Center, Inc | |
|
904 Autumn Rd Ste 425 Little Rock AR 72211-3702 | |
| (501) 261-7611 | |
| (501) 747-1302 |
| Full Name | Arkansas Behavioral Health Center, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 904 Autumn Rd Ste 425, Little Rock, Arkansas |
| Authorized Official Name and Position | Amy Hardin (OFFICE MANAGER) |
| Authorized Official Contact | 5016158988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Behavioral Health Center, Inc 904 Autumn Rd Ste 425 Little Rock AR 72211-3702 Ph: (501) 261-7611 | Arkansas Behavioral Health Center, Inc 904 Autumn Rd Ste 425 Little Rock AR 72211-3702 Ph: (501) 261-7611 |
| NPI Number | 1750965331 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/11/2021 |
| Medicare PECOS PAC ID | 7315347184 |
|---|---|
| Medicare Enrollment ID | O20210824003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750965331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jeremy R Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134212947 PECOS PAC ID: 8820143951 Enrollment ID: I20090826000053 |
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