| Elysian Counseling Services Pllc | |
|
1024 W Court St Ste C Paragould AR 72450-4130 | |
| (870) 919-3871 | |
| Not Available |
| Full Name | Elysian Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1024 W Court St Ste C, Paragould, Arkansas |
| Authorized Official Name and Position | Joanne Powell (SOLE MBR) |
| Authorized Official Contact | 8709193871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Counseling Services Pllc 2106 Julie Ann Ln Paragould AR 72450-8904 Ph: (870) 919-3871 | Elysian Counseling Services Pllc 1024 W Court St Ste C Paragould AR 72450-4130 Ph: (870) 919-3871 |
| NPI Number | 1114557824 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Medicare PECOS PAC ID | 3476995804 |
|---|---|
| Medicare Enrollment ID | O20240530001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114557824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Joanne Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275831331 PECOS PAC ID: 4385086719 Enrollment ID: I20240530001576 |
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