| Ouachita Behavioral Health And Wellness | |
|
128 S George Street Mount Ida AR 71957-9421 | |
| (870) 867-2147 | |
| (870) 867-2164 |
| Full Name | Ouachita Behavioral Health And Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 128 S George Street, Mount Ida, Arkansas |
| Authorized Official Name and Position | Jane L Sherrill (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5016205119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ouachita Behavioral Health And Wellness 125 Wellness Way Hot Springs AR 71913-6478 Ph: (501) 620-5119 | Ouachita Behavioral Health And Wellness 128 S George Street Mount Ida AR 71957-9421 Ph: (870) 867-2147 |
| NPI Number | 1679104392 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679104392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |