| Conway Psychiatric Clinic, Pllc | |
|
5330 Plantation Cv Conway AR 72034-8586 | |
| (501) 472-7697 | |
| Not Available |
| Full Name | Conway Psychiatric Clinic, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5330 Plantation Cv, Conway, Arkansas |
| Authorized Official Name and Position | Raymond Harlech Clark (DOCTOR) |
| Authorized Official Contact | 5014727697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Psychiatric Clinic, Pllc Po Box 10705 Conway AR 72034-0012 Ph: (501) 472-7697 | Conway Psychiatric Clinic, Pllc 5330 Plantation Cv Conway AR 72034-8586 Ph: (501) 472-7697 |
| NPI Number | 1972808145 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 3577745371 |
|---|---|
| Medicare Enrollment ID | O20110316000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972808145 | NPI | - | NPPES |
| 129952001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C-8236 (Arkansas) | Primary |
| Provider Name | Raymond Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750483699 PECOS PAC ID: 4688636665 Enrollment ID: I20110316000294 |
Dayspring Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Bruce St, Conway, AR 72034 Phone: 501-336-0100 Fax: 501-336-0115 | |
An Embraced Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1422 Caldwell St, Suite H, Conway, AR 72034 Phone: 501-499-9231 Fax: 501-904-4373 | |
Catalyst Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Wingate St Ste E2, Conway, AR 72034 Phone: 501-500-4114 Fax: 501-764-4555 | |
Community Service Inc. - Conway Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 N Creek Dr, Conway, AR 72032 Phone: 501-327-9788 Fax: 501-327-9843 | |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 Prince St, Conway, AR 72034 Phone: 341-888-7637 | |
Therapy Assessment Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-291-3091 Fax: 501-588-0484 | |
Lighted Path Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Oak St, Suite 250, Conway, AR 72032 Phone: 804-592-1205 Fax: 866-388-8128 |