| Counseling & Family Therapy Center, Llc | |
|
213 W Rush Ave Harrison AR 72601-4220 | |
| (870) 754-4907 | |
| Not Available |
| Full Name | Counseling & Family Therapy Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 213 W Rush Ave, Harrison, Arkansas |
| Authorized Official Name and Position | Veronica Combs (MHP) |
| Authorized Official Contact | 8707544907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Family Therapy Center, Llc 1403 Brentwood Dr Harrison AR 72601-4705 Ph: () - | Counseling & Family Therapy Center, Llc 213 W Rush Ave Harrison AR 72601-4220 Ph: (870) 754-4907 |
| NPI Number | 1184243362 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Medicare PECOS PAC ID | 9739506684 |
|---|---|
| Medicare Enrollment ID | O20200824003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184243362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Veronica R Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003042540 PECOS PAC ID: 9335379718 Enrollment ID: I20140304001490 |
| Provider Name | Kris D Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811123458 PECOS PAC ID: 0648499095 Enrollment ID: I20140917000075 |
| Provider Name | Crystal Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295107720 PECOS PAC ID: 5890128599 Enrollment ID: I20191211001694 |
| Provider Name | Joshua A Dye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194202531 PECOS PAC ID: 5496165458 Enrollment ID: I20201102001932 |
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