| Psychotherapy - Behavioral & Mental Health Counseling/llc | |
|
112 Garland Ave West Helena AR 72390-2440 | |
| (870) 714-5874 | |
| Not Available |
| Full Name | Psychotherapy - Behavioral & Mental Health Counseling/llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 112 Garland Ave, West Helena, Arkansas |
| Authorized Official Name and Position | Mauricelm-lei Millere (PSYCHIATRIC CLINICIAN) |
| Authorized Official Contact | 2703124085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy - Behavioral & Mental Health Counseling/llc 132 N Fourth West Helena AR 72390-2430 Ph: (270) 801-3436 | Psychotherapy - Behavioral & Mental Health Counseling/llc 112 Garland Ave West Helena AR 72390-2440 Ph: (870) 714-5874 |
| NPI Number | 1558017798 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558017798 | NPI | - | NPPES |
| 1922754118 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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