| Ouachita Health Services, Llc | |
|
403 Morrow St N Ste D Mena AR 71953-4324 | |
| (479) 222-0981 | |
| Not Available |
| Full Name | Ouachita Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 403 Morrow St N Ste D, Mena, Arkansas |
| Authorized Official Name and Position | Rachael Hopper (OWNER) |
| Authorized Official Contact | 4792164565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ouachita Health Services, Llc 403 Morrow St N Ste D Mena AR 71953-4324 Ph: () - | Ouachita Health Services, Llc 403 Morrow St N Ste D Mena AR 71953-4324 Ph: (479) 222-0981 |
| NPI Number | 1417634676 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 9739549718 |
|---|---|
| Medicare Enrollment ID | O20230721003222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417634676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachael Hopper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922251974 PECOS PAC ID: 6901969716 Enrollment ID: I20090105000560 |
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