Kelly Webb Counseling &. Consulting | |
1500 Main St Van Buren AR 72956-4731 | |
(479) 922-5144 | |
(479) 922-5142 |
Full Name | Kelly Webb Counseling &. Consulting |
---|---|
Speciality | Counselor |
Location | 1500 Main St, Van Buren, Arkansas |
Authorized Official Name and Position | Kelly Webb (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4798067286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kelly Webb Counseling &. Consulting Po Box 180372 Fort Smith AR 72918-0372 Ph: (479) 806-7286 | Kelly Webb Counseling &. Consulting 1500 Main St Van Buren AR 72956-4731 Ph: (479) 922-5144 |
NPI Number | 1821721036 |
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Provider Enumeration Date | 07/05/2022 |
Last Update Date | 07/08/2022 |
Certification Date | 07/08/2022 |
Medicare PECOS PAC ID | 9739524323 |
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Medicare Enrollment ID | O20240305004044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821721036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Kelly Webb |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477883619 PECOS PAC ID: 0648615237 Enrollment ID: I20240305004165 |
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