| |
1014 W Oak St El Dorado AR 71730-5430 | |
(501) 436-9269 | |
Not Available |
Full Name | |
---|---|
Speciality | Counselor |
Location | 1014 W Oak St, El Dorado, Arkansas |
Authorized Official Name and Position | Vanessa Natasaha Williams (OWNER/THERAPIST) |
Authorized Official Contact | 5014369269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1014 W Oak St El Dorado AR 71730-5430 Ph: (501) 436-9269 | 1014 W Oak St El Dorado AR 71730-5430 Ph: (501) 436-9269 |
NPI Number | 1881428035 |
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Provider Enumeration Date | 08/29/2024 |
Last Update Date | 11/15/2024 |
Certification Date | 11/15/2024 |
Medicare PECOS PAC ID | 9032645403 |
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Medicare Enrollment ID | O20241209002270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881428035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Vanessa Natasaha Williams |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134258072 PECOS PAC ID: 0941736318 Enrollment ID: I20241212001453 |
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