| |
3411 Southwest Dr Ste 7 Jonesboro AR 72404-9090 | |
(724) 396-1510 | |
(724) 972-4627 |
Full Name | |
---|---|
Speciality | Counselor |
Location | 3411 Southwest Dr Ste 7, Jonesboro, Arkansas |
Authorized Official Name and Position | Richard Hoffman (CLINICAL DIRECTOR) |
Authorized Official Contact | 7243961510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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101 Pembroke Ct Greensburg PA 15601-6404 Ph: (724) 396-1510 | 3411 Southwest Dr Ste 7 Jonesboro AR 72404-9090 Ph: (724) 396-1510 |
NPI Number | 1801643390 |
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Provider Enumeration Date | 05/02/2024 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Medicare PECOS PAC ID | 7618137522 |
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Medicare Enrollment ID | O20240709001670 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801643390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Bart Smith |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083460356 PECOS PAC ID: 5799220141 Enrollment ID: I20240710003083 |
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