Counseling Services Of Eastern Arkansas | |
905 N 7th St West Memphis AR 72301-2001 | |
(870) 735-5118 | |
(870) 972-4911 |
Full Name | Counseling Services Of Eastern Arkansas |
---|---|
Speciality | Community/behavioral Health |
Location | 905 N 7th St, West Memphis, 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 905 N 7th St West Memphis AR 72301-2001 Ph: (870) 735-5118 |
NPI Number | 1720239155 |
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Provider Enumeration Date | 10/03/2008 |
Last Update Date | 12/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720239155 | NPI | - | NPPES |
172078526 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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