| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Gap Rd, Batesville, Arkansas |
| Authorized Official Name and Position | Carla Jones (OFFICE MANAGER) |
| Authorized Official Contact | 8709724900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4900 | 25 Gap Rd Batesville AR 72501-8679 Ph: (870) 919-3381 |
| NPI Number | 1023598828 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023598828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
Nikki Penn Counseling And Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1275 E College St, Batesville, AR 72501 Phone: 870-793-0071 Fax: 888-683-9687 | |
Conway County Community Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Harrison St, Batesville, AR 72501 Phone: 870-569-5112 Fax: 870-569-5113 | |