| Conway Regional Counseling Center | |
|
495 Hogan Ln Ste 2 Conway AR 72034-8498 | |
| (501) 358-6695 | |
| (501) 358-6860 |
| Full Name | Conway Regional Counseling Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 495 Hogan Ln Ste 2, Conway, Arkansas |
| Authorized Official Name and Position | William Pack (CFO) |
| Authorized Official Contact | 5014502112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conway Regional Counseling Center Po Box 9662 Conway AR 72033-9662 Ph: (501) 358-6695 | Conway Regional Counseling Center 495 Hogan Ln Ste 2 Conway AR 72034-8498 Ph: (501) 358-6695 |
| NPI Number | 1730402249 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3173428414 |
|---|---|
| Medicare Enrollment ID | O20200527001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730402249 | NPI | - | NPPES |
| Provider Name | Londa L Revis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912177486 PECOS PAC ID: 1254404411 Enrollment ID: I20080721000693 |
| Provider Name | Herman Ronald Clements |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427019371 PECOS PAC ID: 9537145669 Enrollment ID: I20080903000261 |
| Provider Name | Ronald J Wauters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801854195 PECOS PAC ID: 4789876327 Enrollment ID: I20101014000342 |
| Provider Name | Annette Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1811170301 PECOS PAC ID: 3779767918 Enrollment ID: I20110412000835 |
| Provider Name | Robert Gregory Wooten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922066232 PECOS PAC ID: 9638440738 Enrollment ID: I20170808003193 |
| Provider Name | Austin Garrett Goebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811421407 PECOS PAC ID: 0648522557 Enrollment ID: I20181003003307 |
| Provider Name | David Robert Draney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891141644 PECOS PAC ID: 7416295282 Enrollment ID: I20190221000208 |
| Provider Name | Brian Patrick Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679934871 PECOS PAC ID: 8921435009 Enrollment ID: I20200302001983 |
| Provider Name | Jennifer Graham Moix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093395220 PECOS PAC ID: 3375729338 Enrollment ID: I20210607000051 |
| Provider Name | Tequlia Monikia Pickrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508010943 PECOS PAC ID: 2668864372 Enrollment ID: I20220110000073 |
| Provider Name | Marina Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531518 PECOS PAC ID: 6305213596 Enrollment ID: I20221101000313 |
| Provider Name | Timothy Scott Spurlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334902 PECOS PAC ID: 9537526959 Enrollment ID: I20230530003391 |
| Provider Name | Anne Mcvay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952006389 PECOS PAC ID: 4284089814 Enrollment ID: I20231017000828 |
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 |