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1704 Highway 69 West Trumann AR 72472-2029 | |
| (870) 483-4003 | |
| (870) 483-4009 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1704 Highway 69 West, Trumann, Arkansas |
| Authorized Official Name and Position | Mark A. Thurman (CEO) |
| Authorized Official Contact | 8709336886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1815 Pleasant Grove Rd Jonesboro AR 72405-7870 Ph: (870) 933-6886 | 1704 Highway 69 West Trumann AR 72472-2029 Ph: (870) 483-4003 |
| NPI Number | 1457547168 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457547168 | NPI | - | NPPES |
| 165087526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Divine Light Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Highway 463 N, Trumann, AR 72472 Phone: 870-568-1286 Fax: 870-301-2707 | |
Dayspring Services Of Arkansas Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Suite B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 |