Garland County Grief Counseling | |
320 Ouachita Ave Ste 202 Hot Springs AR 71901-5165 | |
(865) 242-0009 | |
Not Available |
Full Name | Garland County Grief Counseling |
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Speciality | Social Worker |
Location | 320 Ouachita Ave Ste 202, Hot Springs, Arkansas |
Authorized Official Name and Position | Victoria Ann Porter (OWNER/THERAPIST) |
Authorized Official Contact | 8652420009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Garland County Grief Counseling 161 Fox Chase Cir Hot Springs AR 71913-9812 Ph: (865) 242-0009 | Garland County Grief Counseling 320 Ouachita Ave Ste 202 Hot Springs AR 71901-5165 Ph: (865) 242-0009 |
NPI Number | 1669197133 |
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Provider Enumeration Date | 10/07/2022 |
Last Update Date | 10/07/2022 |
Certification Date | 10/07/2022 |
Medicare PECOS PAC ID | 4183090418 |
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Medicare Enrollment ID | O20221012000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669197133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Victoria Ann Porter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467861385 PECOS PAC ID: 4981070216 Enrollment ID: I20221012000280 |
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