Natural State Counseling Centers | |
210 E Locust St Rogers AR 72756-3834 | |
(479) 360-9080 | |
Not Available |
Full Name | Natural State Counseling Centers |
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Speciality | Counselor |
Location | 210 E Locust St, Rogers, Arkansas |
Authorized Official Name and Position | Rodney Fry (OWNER) |
Authorized Official Contact | 4708028022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Natural State Counseling Centers 210 E Locust St Rogers AR 72756-3834 Ph: (479) 360-9080 | Natural State Counseling Centers 210 E Locust St Rogers AR 72756-3834 Ph: (479) 360-9080 |
NPI Number | 1497538383 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 08/15/2023 |
Certification Date | 08/15/2023 |
Medicare PECOS PAC ID | 3779936497 |
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Medicare Enrollment ID | O20240130001327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497538383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Rodney Fry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093317166 PECOS PAC ID: 6608229323 Enrollment ID: I20240130001495 |
Provider Name | Priscilla Mondt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811599368 PECOS PAC ID: 1355784059 Enrollment ID: I20240209001870 |
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