Cbc Professionals, Llc | |
3331 E Heritage Pkwy Farmington AR 72730-5524 | |
(479) 879-0094 | |
(888) 547-7660 |
Full Name | Cbc Professionals, Llc |
---|---|
Speciality | Counselor |
Location | 3331 E Heritage Pkwy, Farmington, Arkansas |
Authorized Official Name and Position | Cristy Bartlett (SOLE MEMBER) |
Authorized Official Contact | 4798790094 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cbc Professionals, Llc Po Box 1830 Farmington AR 72730-1830 Ph: (479) 879-0094 | Cbc Professionals, Llc 3331 E Heritage Pkwy Farmington AR 72730-5524 Ph: (479) 879-0094 |
NPI Number | 1104376508 |
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Provider Enumeration Date | 10/10/2016 |
Last Update Date | 11/19/2021 |
Certification Date | 11/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104376508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P1306058 (Arkansas) | Primary |
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