| Hollow Creek Treatment Center Llc | |
|
4956 Hickory Grove Rd Bismarck AR 71929-6102 | |
| (501) 865-3639 | |
| Not Available |
| Full Name | Hollow Creek Treatment Center Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4956 Hickory Grove Rd, Bismarck, Arkansas |
| Authorized Official Name and Position | Nicole Leanne Smart (OWNER) |
| Authorized Official Contact | 5018653639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollow Creek Treatment Center Llc 4956 Hickory Grove Rd Bismarck AR 71929-6102 Ph: (501) 865-3639 | Hollow Creek Treatment Center Llc 4956 Hickory Grove Rd Bismarck AR 71929-6102 Ph: (501) 865-3639 |
| NPI Number | 1194482034 |
|---|---|
| Provider Enumeration Date | 11/28/2021 |
| Last Update Date | 11/28/2021 |
| Certification Date | 11/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194482034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
Harmony Hill Ranch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 Moccasin Ln, Bismarck, AR 71929 Phone: 501-865-3957 |