| Arrowstar Living Assistance Services | |
|
1659 S Highway 65 82 Lake Village AR 71653-1661 | |
| (870) 632-5000 | |
| Not Available |
| Full Name | Arrowstar Living Assistance Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1659 S Highway 65 82, Lake Village, Arkansas |
| Authorized Official Name and Position | Ethel Fredrickson (CEO) |
| Authorized Official Contact | 8706325000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrowstar Living Assistance Services 412 N Highway 65 82 Lake Village AR 71653-1661 Ph: (870) 632-5000 | Arrowstar Living Assistance Services 1659 S Highway 65 82 Lake Village AR 71653-1661 Ph: (870) 632-5000 |
| NPI Number | 1952964140 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952964140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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