| Pink Elephant Therapy | |
|
203 W Main St Ste K El Dorado AR 71730-5604 | |
| (870) 866-4653 | |
| Not Available |
| Full Name | Pink Elephant Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 W Main St Ste K, El Dorado, Arkansas |
| Authorized Official Name and Position | Connie Delora Taute (OWNER) |
| Authorized Official Contact | 8708664653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pink Elephant Therapy 203 W. Main St. Suite K El Dorado AR 71730 Ph: (870) 866-4653 | Pink Elephant Therapy 203 W Main St Ste K El Dorado AR 71730-5604 Ph: (870) 866-4653 |
| NPI Number | 1669145694 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669145694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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