| Evans' Counseling And Psycho-educational Firm, Inc | |
|
216 Olive St Ste 210 Texarkana AR 71854-5932 | |
| (903) 556-9416 | |
| Not Available |
| Full Name | Evans' Counseling And Psycho-educational Firm, Inc |
|---|---|
| Speciality | Counselor |
| Location | 216 Olive St Ste 210, Texarkana, Arkansas |
| Authorized Official Name and Position | Crystal Evans (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9035569416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans' Counseling And Psycho-educational Firm, Inc 1156 Little River 11 Ashdown AR 71822-8985 Ph: (903) 556-9416 | Evans' Counseling And Psycho-educational Firm, Inc 216 Olive St Ste 210 Texarkana AR 71854-5932 Ph: (903) 556-9416 |
| NPI Number | 1134801137 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 4284174186 |
|---|---|
| Medicare Enrollment ID | O20240905004759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134801137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Crystal Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609336619 PECOS PAC ID: 5193265098 Enrollment ID: I20240905004781 |
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