| Heber Springs Counseling, Pllc | |
|
301 W Searcy St Heber Springs AR 72543-3840 | |
| (501) 270-9503 | |
| (501) 235-3866 |
| Full Name | Heber Springs Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 W Searcy St, Heber Springs, Arkansas |
| Authorized Official Name and Position | Bernadette Stanford (OWNER) |
| Authorized Official Contact | 5012709503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heber Springs Counseling, Pllc 104 N 3rd St Heber Springs AR 72543-3035 Ph: (501) 270-9503 | Heber Springs Counseling, Pllc 301 W Searcy St Heber Springs AR 72543-3840 Ph: (501) 270-9503 |
| NPI Number | 1255834081 |
|---|---|
| Provider Enumeration Date | 03/18/2018 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 0244658284 |
|---|---|
| Medicare Enrollment ID | O20200908002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255834081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | P1412107 (Arkansas) | Primary |
| Provider Name | Lisa C Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790899011 PECOS PAC ID: 6901224955 Enrollment ID: I20200908003037 |
| Provider Name | Freddy R Nail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407431042 PECOS PAC ID: 4981053766 Enrollment ID: I20231206001457 |
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