| Conway County Community Service, Inc | |
|
605 Eureka Ave Ste C Berryville AR 72616-3035 | |
| (870) 929-6023 | |
| (870) 505-2003 |
| Full Name | Conway County Community Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 605 Eureka Ave Ste C, Berryville, Arkansas |
| Authorized Official Name and Position | Angela Lynn Wheat (PA/CREDENTIALING CLERK) |
| Authorized Official Contact | 5013544589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway County Community Service, Inc Po Box 679 Morrilton AR 72110-0679 Ph: (501) 354-4589 | Conway County Community Service, Inc 605 Eureka Ave Ste C Berryville AR 72616-3035 Ph: (870) 929-6023 |
| NPI Number | 1023854668 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023854668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Conway County Community Service, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Freeman Ave, Berryville, AR 72616 Phone: 870-280-3468 | |
Family Tree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Eureka Street, Berryville, AR 72616 Phone: 479-981-0060 |