Evans Family Counseling | |
1401 Malvern Ave Ste 152 Hot Springs AR 71901-6370 | |
(501) 701-0088 | |
(888) 313-1371 |
Full Name | Evans Family Counseling |
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Speciality | Clinic/Center |
Location | 1401 Malvern Ave Ste 152, Hot Springs, Arkansas |
Authorized Official Name and Position | Michael Lynn Evans (MEMBER) |
Authorized Official Contact | 5012824547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Evans Family Counseling 270 Pioneer Ln Hot Springs AR 71901-8826 Ph: (501) 282-4547 | Evans Family Counseling 1401 Malvern Ave Ste 152 Hot Springs AR 71901-6370 Ph: (501) 701-0088 |
NPI Number | 1083103105 |
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Provider Enumeration Date | 05/03/2018 |
Last Update Date | 04/18/2024 |
Certification Date | 04/18/2024 |
Medicare PECOS PAC ID | 3072878248 |
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Medicare Enrollment ID | O20180518000520 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083103105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7186-C (Arkansas) | Primary |
Provider Name | Michael L Evans |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770835068 PECOS PAC ID: 4082995824 Enrollment ID: I20170110000813 |
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