| Experience Counseling Clinic, Inc. | |
|
114 Medical Park Dr Hope AR 71801-8100 | |
| (870) 474-5001 | |
| Not Available |
| Full Name | Experience Counseling Clinic, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 114 Medical Park Dr, Hope, Arkansas |
| Authorized Official Name and Position | Kimberly Moore (OWNER/COO) |
| Authorized Official Contact | 8704745001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Counseling Clinic, Inc. Po Box 932 Hope AR 71802-0932 Ph: () - | Experience Counseling Clinic, Inc. 114 Medical Park Dr Hope AR 71801-8100 Ph: (870) 474-5001 |
| NPI Number | 1710750443 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710750443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Experience Counseling Clinic, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Medical Park Dr, Hope, AR 71801 Phone: 870-474-5001 |