| Dauntless Tms Pllc | |
|
2580 E Joyce Blvd Ste 2 Fayetteville AR 72703-3924 | |
| (479) 305-7201 | |
| Not Available |
| Full Name | Dauntless Tms Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2580 E Joyce Blvd Ste 2, Fayetteville, Arkansas |
| Authorized Official Name and Position | Jacquelyn Lange (OWNER) |
| Authorized Official Contact | 4793057201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dauntless Tms Pllc Po Box 8936 Fayetteville AR 72703-0016 Ph: (210) 268-9362 | Dauntless Tms Pllc 2580 E Joyce Blvd Ste 2 Fayetteville AR 72703-3924 Ph: (479) 305-7201 |
| NPI Number | 1942970884 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942970884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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