| Nwa Premier Therapy | |
|
5305 W Village Pkwy Suite 8 Rogers AR 72758 | |
| (479) 372-7446 | |
| Not Available |
| Full Name | Nwa Premier Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5305 W Village Pkwy, Rogers, Arkansas |
| Authorized Official Name and Position | Victoria Lynn Sullivan (OWNER) |
| Authorized Official Contact | 4793727446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwa Premier Therapy 5305 W Village Pkwy Suite 8 Rogers AR 72758 Ph: (479) 372-7446 | Nwa Premier Therapy 5305 W Village Pkwy Suite 8 Rogers AR 72758 Ph: (479) 372-7446 |
| NPI Number | 1043774516 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043774516 | NPI | - | NPPES |
| P0304018 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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