| Brenda Wooley Lcsw Llc | |
|
104 Hawk Valley Dr Paron AR 72122-9709 | |
| (870) 820-7097 | |
| Not Available |
| Full Name | Brenda Wooley Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Hawk Valley Dr, Paron, Arkansas |
| Authorized Official Name and Position | Brenda Faye Wooley (PROPRIETOR) |
| Authorized Official Contact | 5013268372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Wooley Lcsw Llc 104 Hawk Valley Dr Paron AR 72122-9709 Ph: (870) 820-7097 | Brenda Wooley Lcsw Llc 104 Hawk Valley Dr Paron AR 72122-9709 Ph: (870) 820-7097 |
| NPI Number | 1982392684 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 04/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982392684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Peak State Recovery, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22163-22295 Ar-9, Paron, AR 72122 Phone: 501-428-6980 |