| Methodist Counseling Clinic - Vilonia | |
|
1112 Main St Vilonia AR 72173-9524 | |
| (501) 772-9278 | |
| (501) 421-2350 |
| Full Name | Methodist Counseling Clinic - Vilonia |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1112 Main St, Vilonia, Arkansas |
| Authorized Official Name and Position | Lesley Don Cole (CFO) |
| Authorized Official Contact | 5016610720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Counseling Clinic - Vilonia 1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6676 Ph: (501) 661-0720 | Methodist Counseling Clinic - Vilonia 1112 Main St Vilonia AR 72173-9524 Ph: (501) 772-9278 |
| NPI Number | 1972607695 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972607695 | NPI | - | NPPES |
| 145613726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |