| Connecting Pathways Llc | |
|
5018 Club Rd Ste 206 Little Rock AR 72207-4751 | |
| (501) 410-7077 | |
| Not Available |
| Full Name | Connecting Pathways Llc |
|---|---|
| Speciality | Counselor |
| Location | 5018 Club Rd Ste 206, Little Rock, Arkansas |
| Authorized Official Name and Position | Bambi Parks (OWNER) |
| Authorized Official Contact | 5014107707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting Pathways Llc 5500 Highland Dr Apt 1422 Little Rock AR 72223-2069 Ph: (501) 410-7707 | Connecting Pathways Llc 5018 Club Rd Ste 206 Little Rock AR 72207-4751 Ph: (501) 410-7077 |
| NPI Number | 1497340541 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Certification Date | 03/01/2021 |
| Medicare PECOS PAC ID | 8820492218 |
|---|---|
| Medicare Enrollment ID | O20210806001613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497340541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bambi M Parks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114233889 PECOS PAC ID: 1759635154 Enrollment ID: I20181126000124 |
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