Invocation Llc | |
106 E Main St Russellville AR 72801-5128 | |
(479) 692-1208 | |
(479) 968-1673 |
Full Name | Invocation Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 106 E Main St, Russellville, Arkansas |
Authorized Official Name and Position | Paul Hickerson (OWNER) |
Authorized Official Contact | 4796921208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Invocation Llc Po Box 9178 Russellville AR 72811-9178 Ph: (479) 498-6700 | Invocation Llc 106 E Main St Russellville AR 72801-5128 Ph: (479) 692-1208 |
NPI Number | 1336670793 |
---|---|
Provider Enumeration Date | 03/27/2017 |
Last Update Date | 03/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336670793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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