| Midsouth Health Systems | |
|
905 N 7th St West Memphis AR 72301-2001 | |
| (870) 735-4511 | |
| (870) 735-5260 |
| Full Name | Midsouth Health Systems |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 905 N 7th St, West Memphis, Arkansas |
| Authorized Official Name and Position | Donnie Lyerly (CREDENTIALING) |
| Authorized Official Contact | 8709724939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Health Systems 2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4939 | Midsouth Health Systems 905 N 7th St West Memphis AR 72301-2001 Ph: (870) 735-4511 |
| NPI Number | 1598058489 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598058489 | NPI | - | NPPES |
| 18417774 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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