| Counseling Services Of Eastern Arkansas | |
|
1201 Falls Blvd S Wynne AR 72396-3637 | |
| (870) 238-1135 | |
| (870) 972-4911 |
| Full Name | Counseling Services Of Eastern Arkansas |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1201 Falls Blvd S, Wynne, 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 1201 Falls Blvd S Wynne AR 72396-3637 Ph: (870) 238-1135 |
| NPI Number | 1508017948 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508017948 | NPI | - | NPPES |
| 172101526 | 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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