| Drdhpccc Llc | |
|
101 W Main St Ste 200 El Dorado AR 71730-5654 | |
| (870) 878-3194 | |
| Not Available |
| Full Name | Drdhpccc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 W Main St Ste 200, El Dorado, Arkansas |
| Authorized Official Name and Position | Larry C Preston (PRESIDENT) |
| Authorized Official Contact | 8707254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drdhpccc Llc 101 W Main St Ste 200 El Dorado AR 71730-5654 Ph: (870) 878-3194 | Drdhpccc Llc 101 W Main St Ste 200 El Dorado AR 71730-5654 Ph: (870) 878-3194 |
| NPI Number | 1447803226 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447803226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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