| Lynda Larue Heber Springs Counseling | |
|
1101 W Main St Ste F Heber Springs AR 72543-2802 | |
| (501) 438-9829 | |
| Not Available |
| Full Name | Lynda Larue Heber Springs Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1101 W Main St Ste F, Heber Springs, Arkansas |
| Authorized Official Name and Position | Lynda Larue (OWNER) |
| Authorized Official Contact | 5014389829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynda Larue Heber Springs Counseling 1101 W Main St Ste F Heber Springs AR 72543-2802 Ph: () - | Lynda Larue Heber Springs Counseling 1101 W Main St Ste F Heber Springs AR 72543-2802 Ph: (501) 438-9829 |
| NPI Number | 1821628462 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Medicare PECOS PAC ID | 2567897242 |
|---|---|
| Medicare Enrollment ID | O20200128000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821628462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lynda La Rue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710093554 PECOS PAC ID: 4587689526 Enrollment ID: I20051010000511 |
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