| Maxus | |
|
1100 Bob Courtway Dr Suite 9 Conway AR 72032-4766 | |
| (501) 328-5525 | |
| (501) 328-5342 |
| Full Name | Maxus |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1100 Bob Courtway Dr, Conway, Arkansas |
| Authorized Official Name and Position | Ted Shul (CEO) |
| Authorized Official Contact | 8706472541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxus 1033 Old Burr Rd Warm Springs AR 72478-9077 Ph: (870) 647-2541 | Maxus 1100 Bob Courtway Dr Suite 9 Conway AR 72032-4766 Ph: (501) 328-5525 |
| NPI Number | 1912022096 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912022096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Arkansas) | Primary |
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