| Mid-south Health Systems, Inc. | |
|
102 South Larkspur Walnut Ridge AR 72476-1736 | |
| (870) 886-7924 | |
| (870) 972-4911 |
| Full Name | Mid-south Health Systems, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 South Larkspur, Walnut Ridge, Arkansas |
| Authorized Official Name and Position | Donnie J Lyerly (PROVIDER CREDENTIALING) |
| Authorized Official Contact | 8709724939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-south Health Systems, Inc. 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 886-7924 | Mid-south Health Systems, Inc. 102 South Larkspur Walnut Ridge AR 72476-1736 Ph: (870) 886-7924 |
| NPI Number | 1326299736 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326299736 | NPI | - | NPPES |
| 172107526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Families, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-5303 Fax: 870-886-7002 |