| Charis Counseling Pllc | |
|
128 Southwinds Rd Ste 5&6 Farmington AR 72730-8678 | |
| (479) 267-6934 | |
| (866) 798-3345 |
| Full Name | Charis Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Southwinds Rd Ste 5&6, Farmington, Arkansas |
| Authorized Official Name and Position | Mindy Dawn Grusing (COUNSELOR) |
| Authorized Official Contact | 4794668385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Counseling Pllc Po Box 1841 Farmington AR 72730-1841 Ph: (479) 466-8385 | Charis Counseling Pllc 128 Southwinds Rd Ste 5&6 Farmington AR 72730-8678 Ph: (479) 267-6934 |
| NPI Number | 1063982866 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Medicare PECOS PAC ID | 9133461494 |
|---|---|
| Medicare Enrollment ID | O20190507001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063982866 | NPI | - | NPPES |
| 1588835110 | Other | AR | MINDY GRUSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mindy D Grusing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588835110 PECOS PAC ID: 9032451307 Enrollment ID: I20190507001713 |
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