| Psychology Center Of Russellville, Llc | |
|
2621 W Main St Suite 7 Russellville AR 72801-2534 | |
| (479) 219-5041 | |
| (479) 219-5046 |
| Full Name | Psychology Center Of Russellville, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2621 W Main St, Russellville, Arkansas |
| Authorized Official Name and Position | Christina Lin Couch (OWNER) |
| Authorized Official Contact | 4792195041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Center Of Russellville, Llc 2621 W Main St Suite 7 Russellville AR 72801-2534 Ph: (479) 219-5041 | Psychology Center Of Russellville, Llc 2621 W Main St Suite 7 Russellville AR 72801-2534 Ph: (479) 219-5041 |
| NPI Number | 1194106476 |
|---|---|
| Provider Enumeration Date | 06/12/2015 |
| Last Update Date | 06/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194106476 | NPI | - | NPPES |
| 191430719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 12-01P (Arkansas) | Primary |
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St . Mary's Regional Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 Fax: 479-968-8189 | |
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Beautiful Path Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 501-500-1545 Fax: 479-777-9928 | |
A Gentle Journey Corportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Russellville, AR 72801 Phone: 479-223-0326 | |
Lake Point Recovery And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Arvac Lane, Russellville, AR 72802 Phone: 479-219-5292 Fax: 479-370-0361 | |
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