| Lakewood Behavioral Health Associates | |
|
4020 Richards Rd Suite F North Little Rock AR 72117-2650 | |
| (501) 753-1616 | |
| (501) 753-8471 |
| Full Name | Lakewood Behavioral Health Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4020 Richards Rd, North Little Rock, Arkansas |
| Authorized Official Name and Position | William Alexander Wilson (CLINIC DIRECTOR) |
| Authorized Official Contact | 5017531616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Behavioral Health Associates 4020 Richards Rd Suite F North Little Rock AR 72117-2650 Ph: (501) 753-1616 | Lakewood Behavioral Health Associates 4020 Richards Rd Suite F North Little Rock AR 72117-2650 Ph: (501) 753-1616 |
| NPI Number | 1720191109 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042227514 |
|---|---|
| Medicare Enrollment ID | O20060309000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720191109 | NPI | - | NPPES |
| 33-DE3206 | Other | AR | MEDICARE RAILROAD |
| Provider Name | Kimra K Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144232091 PECOS PAC ID: 6204861651 Enrollment ID: I20051004000908 |
| Provider Name | John A Lierly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225041205 PECOS PAC ID: 6204843113 Enrollment ID: I20060426000294 |
| Provider Name | Deborah K Penny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932384849 PECOS PAC ID: 3870757974 Enrollment ID: I20120620000505 |
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