| Experience Counseling Clinic, Inc. | |
|
114 Medical Park Dr Hope AR 71801-8100 | |
| (870) 474-5001 | |
| Not Available |
| Full Name | Experience Counseling Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Medical Park Dr, Hope, Arkansas |
| Authorized Official Name and Position | Monica Brannon (OWNER) |
| Authorized Official Contact | 8702457984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Counseling Clinic, Inc. Po Box 932 Hope AR 71802-0932 Ph: () - | Experience Counseling Clinic, Inc. 114 Medical Park Dr Hope AR 71801-8100 Ph: (870) 474-5001 |
| NPI Number | 1659035616 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 6204294465 |
|---|---|
| Medicare Enrollment ID | O20230620002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659035616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gloria J Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275610024 PECOS PAC ID: 8426235029 Enrollment ID: I20110608000370 |
| Provider Name | Jody A Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992081491 PECOS PAC ID: 6103092051 Enrollment ID: I20120203000173 |
| Provider Name | Allyson A Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437504040 PECOS PAC ID: 0446542526 Enrollment ID: I20180626000921 |
| Provider Name | Monica G Brannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497800486 PECOS PAC ID: 7012375272 Enrollment ID: I20240130002096 |
| Provider Name | Angela Richerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982734950 PECOS PAC ID: 1254774391 Enrollment ID: I20240206002910 |
Southwest Arkansas Regional Medical Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Main St, Hope, AR 71801 Phone: 870-722-3801 | |
Wadley Regional Medical Center At Hope Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2001 S Main St, Hope, AR 71801 Phone: 870-722-3804 Fax: 870-722-3840 | |
Pafford Health Systems Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Main St, Hope, AR 71801 Phone: 870-722-3801 | |
Southwest Arkansas Counseling And Mental Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 20th St, Hope, AR 71801 Phone: 870-777-9051 Fax: 870-777-3104 | |
Yasmin Morgan Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 N. Spruce St, Hope, AR 71801 Phone: 870-833-1088 | |
Medical Park Hospital Geropsych Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Main St, Hope, AR 71801 Phone: 870-722-2416 Fax: 870-722-7278 |