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316 Main Street Lake Village AR 71653 | |
| (870) 265-2186 | |
| (870) 265-2305 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 316 Main Street, Lake Village, Arkansas |
| Authorized Official Name and Position | Ted Suhl (CEO) |
| Authorized Official Contact | 8706471400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1033 Old Burr Rd Warm Springs AR 72478-9077 Ph: (870) 647-1400 | 316 Main Street Lake Village AR 71653 Ph: (870) 265-2186 |
| NPI Number | 1972892206 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 07/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972892206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Arrowstar Living Assistance Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1659 S Highway 65 82, Lake Village, AR 71653 Phone: 870-632-5000 | |
Dayspring Services Of Arkansas Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707 |