| Arkansas Behavioral Impact | |
|
6705 W 12th St Little Rock AR 72204-1515 | |
| (501) 265-0255 | |
| (501) 265-0225 |
| Full Name | Arkansas Behavioral Impact |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6705 W 12th St, Little Rock, Arkansas |
| Authorized Official Name and Position | Douglas Frans (PRESIDENT) |
| Authorized Official Contact | 5014544354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Behavioral Impact Po Box 56751 Little Rock AR 72215-6751 Ph: (501) 454-4354 | Arkansas Behavioral Impact 6705 W 12th St Little Rock AR 72204-1515 Ph: (501) 265-0255 |
| NPI Number | 1831439769 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831439769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C-2137 (Arkansas) | Primary |
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