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208 S Main St Jonesboro AR 72401-2907 | |
| (870) 819-2076 | |
| (833) 463-2401 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 208 S Main St, Jonesboro, Arkansas |
| Authorized Official Name and Position | Brittany Lynn Neeley (OWNER) |
| Authorized Official Contact | 8705307600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 22 Brookland AR 72417-0022 Ph: (870) 819-2076 | 208 S Main St Jonesboro AR 72401-2907 Ph: (870) 819-2076 |
| NPI Number | 1053176339 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/01/2025 |
| Certification Date | 02/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053176339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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