| Maxus | |
|
132 W 2nd St Malvern AR 72104-3708 | |
| (501) 776-1191 | |
| (501) 776-1194 |
| Full Name | Maxus |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 132 W 2nd St, Malvern, 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 132 W 2nd St Malvern AR 72104-3708 Ph: (501) 776-1191 |
| NPI Number | 1689798993 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689798993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Arkansas) | Primary |
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