| Mountain Home Psychiatric Medicine, Pa | |
|
204 N College St Mountain Home AR 72653-3654 | |
| (870) 424-4804 | |
| (870) 424-8651 |
| Full Name | Mountain Home Psychiatric Medicine, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 204 N College St, Mountain Home, Arkansas |
| Authorized Official Name and Position | Annette S Walden (OFFICE MANAGER) |
| Authorized Official Contact | 8704244804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Home Psychiatric Medicine, Pa Po Box 387 Mountain Home AR 72654-0387 Ph: (870) 424-4804 | Mountain Home Psychiatric Medicine, Pa 204 N College St Mountain Home AR 72653-3654 Ph: (870) 424-4804 |
| NPI Number | 1962653063 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 4981755410 |
|---|---|
| Medicare Enrollment ID | O20090624000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962653063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Thomas E Walden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508897307 PECOS PAC ID: 1254341019 Enrollment ID: I20070614000279 |
| Provider Name | Philip W Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861639940 PECOS PAC ID: 3577759133 Enrollment ID: I20101122000363 |
| Provider Name | Amy E Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902683980 PECOS PAC ID: 8325494156 Enrollment ID: I20231030002981 |
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Ozark Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Plz, Mountain Home, AR 72654 Phone: 870-425-6901 Fax: 870-424-8703 | |
Health Resources Of Arkansas, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Plz, Mountain Home, AR 72653 Phone: 870-425-6901 Fax: 870-425-0263 | |
Health Resources Of Arkansas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Plz, Mountain Home, AR 72653 Phone: 870-793-8900 Fax: 870-793-8959 | |
Grace Abounds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Commerce Dr Ste 3, Mountain Home, AR 72653 Phone: 870-232-4181 | |
Aubrey Wilson Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E 7th St Ste 3, Mountain Home, AR 72653 Phone: 740-288-5317 | |
Devon Davasher, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 701 South Street, Suite 100, Mountain Home, AR 72653 Phone: 501-291-0420 Fax: 866-728-9492 |