| Arkansas Holistic Therapy | |
|
2718 S Arch St Little Rock AR 72206-6529 | |
| (501) 551-1201 | |
| Not Available |
| Full Name | Arkansas Holistic Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 2718 S Arch St, Little Rock, Arkansas |
| Authorized Official Name and Position | Jack Arneze Woods (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5013193322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Holistic Therapy 2718 S Arch St Little Rock AR 72206-6529 Ph: (501) 551-1201 | Arkansas Holistic Therapy 2718 S Arch St Little Rock AR 72206-6529 Ph: (501) 551-1201 |
| NPI Number | 1538794086 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 2860822509 |
|---|---|
| Medicare Enrollment ID | O20200421002840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538794086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jack Anreze Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184147464 PECOS PAC ID: 3779913413 Enrollment ID: I20200421002965 |
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