Bella Vista Counseling | |
1801 Forest Hills Blvd Ste 121 Bella Vista AR 72715-3070 | |
(479) 721-3835 | |
Not Available |
Full Name | Bella Vista Counseling |
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Speciality | Social Worker |
Location | 1801 Forest Hills Blvd Ste 121, Bella Vista, Arkansas |
Authorized Official Name and Position | Kelly K Wilson (OWNER/LCSW) |
Authorized Official Contact | 4797213835 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bella Vista Counseling 1801 Forest Hills Blvd Ste 121 Bella Vista AR 72715-3070 Ph: (479) 721-3835 | Bella Vista Counseling 1801 Forest Hills Blvd Ste 121 Bella Vista AR 72715-3070 Ph: (479) 721-3835 |
NPI Number | 1053146092 |
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Provider Enumeration Date | 09/06/2024 |
Last Update Date | 09/06/2024 |
Certification Date | 09/06/2024 |
Medicare PECOS PAC ID | 9638603178 |
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Medicare Enrollment ID | O20241106003847 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053146092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kelly Kendra Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902345416 PECOS PAC ID: 6901228964 Enrollment ID: I20200619000856 |
Kelly Dundon Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Gamlingay Ln, Bella Vista, AR 72714 Phone: 469-449-7481 | |
Global Therapy, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Sileby Ln, Bella Vista, AR 72714 Phone: 479-206-3627 Fax: 866-584-0449 |