| Pivot Integrative Health Llc | |
|
533 W Washington Ave Ste C Jonesboro AR 72401-2782 | |
| (187) 027-3398 | |
| (870) 520-6482 |
| Full Name | Pivot Integrative Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 533 W Washington Ave Ste C, Jonesboro, Arkansas |
| Authorized Official Name and Position | Lauren Hannah (CO-OWNER) |
| Authorized Official Contact | 8702733980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Integrative Health Llc 3308 Abigail Ct Jonesboro AR 72404-5013 Ph: (870) 273-3980 | Pivot Integrative Health Llc 533 W Washington Ave Ste C Jonesboro AR 72401-2782 Ph: (187) 027-3398 |
| NPI Number | 1598549818 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 8426403916 |
|---|---|
| Medicare Enrollment ID | O20231018004152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598549818 | NPI | - | NPPES |
| Provider Name | Lara Huffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013987510 PECOS PAC ID: 3971785262 Enrollment ID: I20110308000498 |
| Provider Name | Kimberly Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629107214 PECOS PAC ID: 0143398115 Enrollment ID: I20141018000053 |
| Provider Name | Lauren E Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730330473 PECOS PAC ID: 1658693692 Enrollment ID: I20141203000281 |
| Provider Name | Aaron G Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033472964 PECOS PAC ID: 7719302363 Enrollment ID: I20200730001147 |
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