Journey To A New You, Pllc | |
571gr 523 Rd Paragould AR 72450 | |
(870) 450-9846 | |
Not Available |
Full Name | Journey To A New You, Pllc |
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Speciality | Clinic/Center |
Location | 571gr 523 Rd, Paragould, Arkansas |
Authorized Official Name and Position | Natasha Woods (OPERATIONAL MANAGER) |
Authorized Official Contact | 8704509846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Journey To A New You, Pllc 571gr 523 Rd Paragould AR 72450 Ph: (870) 450-9846 | Journey To A New You, Pllc 571gr 523 Rd Paragould AR 72450 Ph: (870) 450-9846 |
NPI Number | 1891463998 |
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Provider Enumeration Date | 09/02/2021 |
Last Update Date | 09/02/2021 |
Certification Date | 08/18/2021 |
Medicare PECOS PAC ID | 4981088663 |
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Medicare Enrollment ID | O20220830000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891463998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Natasha L Woods |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295966364 PECOS PAC ID: 8729223441 Enrollment ID: I20141002002542 |
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