| Heather Zelaya Therapy Pllc | |
|
2894 N Mckee Cir Ste 122 Fayetteville AR 72703-3498 | |
| (479) 310-6886 | |
| (479) 318-1241 |
| Full Name | Heather Zelaya Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2894 N Mckee Cir Ste 122, Fayetteville, Arkansas |
| Authorized Official Name and Position | Heather Gail Zelaya (OWNER) |
| Authorized Official Contact | 4797995992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Zelaya Therapy Pllc 214 E Adobe St Fayetteville AR 72703-3342 Ph: (479) 799-5992 | Heather Zelaya Therapy Pllc 2894 N Mckee Cir Ste 122 Fayetteville AR 72703-3498 Ph: (479) 310-6886 |
| NPI Number | 1659077675 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 2062879695 |
|---|---|
| Medicare Enrollment ID | O20230613001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659077675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Heather Zelaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417146986 PECOS PAC ID: 4880991397 Enrollment ID: I20160329001514 |
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