Professional Counseling Services Of Magnolia | |
1327 N Washington Magnolia AR 71753-2067 | |
(870) 235-1112 | |
(870) 235-1114 |
Full Name | Professional Counseling Services Of Magnolia |
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Speciality | Community/Behavioral Health |
Location | 1327 N Washington, Magnolia, Arkansas |
Authorized Official Name and Position | Marian F Green (OWNER/DIRECTOR) |
Authorized Official Contact | 8702351112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Professional Counseling Services Of Magnolia 1327 N Washington Magnolia AR 71753-2067 Ph: (870) 235-1112 | Professional Counseling Services Of Magnolia 1327 N Washington Magnolia AR 71753-2067 Ph: (870) 235-1112 |
NPI Number | 1790082311 |
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Provider Enumeration Date | 02/16/2011 |
Last Update Date | 03/21/2011 |
Medicare PECOS PAC ID | 4981042108 |
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Medicare Enrollment ID | O20240409000069 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790082311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 218949578 (Arkansas) | Primary |
Provider Name | Marian Green |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780713404 PECOS PAC ID: 5890133011 Enrollment ID: I20240409000103 |
Provider Name | Alaina Kay Atkinson-murphy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053720144 PECOS PAC ID: 1951843663 Enrollment ID: I20240610002980 |
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