| Fordyce Counseling Clinic, Inc. | |
|
1101 W 3rd St Fordyce AR 71742-3014 | |
| (870) 352-5122 | |
| (870) 352-5127 |
| Full Name | Fordyce Counseling Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1101 W 3rd St, Fordyce, Arkansas |
| Authorized Official Name and Position | Daniel Loyd Moore (PRESIDENT) |
| Authorized Official Contact | 8703525122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fordyce Counseling Clinic, Inc. 1101 W 3rd St Fordyce AR 71742-3014 Ph: (870) 352-5122 | Fordyce Counseling Clinic, Inc. 1101 W 3rd St Fordyce AR 71742-3014 Ph: (870) 352-5122 |
| NPI Number | 1912941220 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912941220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Rivendell Behavioral Health Services Of Arkansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 W 4th St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Phs Of Dallas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 | |
South Arkansas Regional Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 W 3rd St, Fordyce, AR 71742 Phone: 870-893-9928 | |
The Pointe Outpatient Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 |