| Counseling Services Of Eastern Arkansas | |
|
490 Broadmoor Dr Brinkley AR 72021-2057 | |
| (870) 734-3202 | |
| (870) 972-4911 |
| Full Name | Counseling Services Of Eastern Arkansas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 490 Broadmoor Dr, Brinkley, Arkansas |
| Authorized Official Name and Position | Donnie Lyerly (PROVIDER CREDENTIALING) |
| Authorized Official Contact | 8709724939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of Eastern Arkansas 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4939 | Counseling Services Of Eastern Arkansas 490 Broadmoor Dr Brinkley AR 72021-2057 Ph: (870) 734-3202 |
| NPI Number | 1417108846 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417108846 | NPI | - | NPPES |
| 172036526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Counseling Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 South Main Street, Brinkley, AR 72021 Phone: 870-734-9803 | |
Mid-south Health Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 Broadmoor Dr, Brinkley, AR 72021 Phone: 870-734-2174 Fax: 870-972-4911 | |
Rivendell Behavioral Health Services Of Ar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Main Ave, Brinkley, AR 72021 Phone: 501-316-1255 Fax: 501-794-0908 |