| Hudefi Mental Health Services Pllc | |
|
2010 Chestnut St Van Buren AR 72956-5321 | |
| (479) 782-5500 | |
| Not Available |
| Full Name | Hudefi Mental Health Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2010 Chestnut St, Van Buren, Arkansas |
| Authorized Official Name and Position | Fayz A Hudefi (OWNER) |
| Authorized Official Contact | 4793530901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudefi Mental Health Services Pllc Po Box 10674 Fort Smith AR 72917-0674 Ph: (479) 782-5500 | Hudefi Mental Health Services Pllc 2010 Chestnut St Van Buren AR 72956-5321 Ph: (479) 782-5500 |
| NPI Number | 1649597220 |
|---|---|
| Provider Enumeration Date | 04/22/2010 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649597220 | NPI | - | NPPES |
| 5N608 | Other | AR | BCBS |
| 06070018900 | Other | AR | QUALCHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E4773 (Arkansas) | Primary |
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