| Attachment Services Of Arkansas | |
|
5800 Evergreen Dr Ste G Little Rock AR 72205-1757 | |
| (501) 414-9141 | |
| (501) 904-4409 |
| Full Name | Attachment Services Of Arkansas |
|---|---|
| Speciality | Social Worker |
| Location | 5800 Evergreen Dr Ste G, Little Rock, Arkansas |
| Authorized Official Name and Position | Cindy A Brown (ORGANIZER) |
| Authorized Official Contact | 5014149141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attachment Services Of Arkansas 217 Johnson St Little Rock AR 72205-5823 Ph: (501) 414-9141 | Attachment Services Of Arkansas 5800 Evergreen Dr Ste G Little Rock AR 72205-1757 Ph: (501) 414-9141 |
| NPI Number | 1629583182 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Medicare PECOS PAC ID | 8123372778 |
|---|---|
| Medicare Enrollment ID | O20181116001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629583182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3376-C (Arkansas) | Primary |
| Provider Name | Cindy Annette Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871994145 PECOS PAC ID: 2769736313 Enrollment ID: I20181116001933 |
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