| Kingdom Connect Consulting Services, Llc | |
|
162 Mound City Rd Marion AR 72364-1830 | |
| (870) 945-5292 | |
| Not Available |
| Full Name | Kingdom Connect Consulting Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 162 Mound City Rd, Marion, Arkansas |
| Authorized Official Name and Position | Reda V Kirkwood (OWNER) |
| Authorized Official Contact | 8709455292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Connect Consulting Services, Llc Po Box 1354 Forrest City AR 72336-1354 Ph: (870) 945-5292 | Kingdom Connect Consulting Services, Llc 162 Mound City Rd Marion AR 72364-1830 Ph: (870) 945-5292 |
| NPI Number | 1023756574 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023756574 | NPI | - | NPPES |
| 231960719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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