| Jamie L. Summers Stacks, Pa | |
|
100 Ridgeway Ave, Suite 1 Hot Springs AR 71901 | |
| (501) 620-0162 | |
| (501) 623-2266 |
| Full Name | Jamie L. Summers Stacks, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Ridgeway Ave, Suite 1, Hot Springs, Arkansas |
| Authorized Official Name and Position | Jamie L Summers Stacks (OWNER/THERAPIST) |
| Authorized Official Contact | 5016200162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L. Summers Stacks, Pa 100 Ridgeway Ave, Suite 1 Hot Springs AR 71901 Ph: (501) 620-0162 | Jamie L. Summers Stacks, Pa 100 Ridgeway Ave, Suite 1 Hot Springs AR 71901 Ph: (501) 620-0162 |
| NPI Number | 1639558398 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639558398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0509059 (Arkansas) | Primary |
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