| Raven Holistic Health Llc | |
|
5289 Greene 628 Rd Paragould AR 72450-8025 | |
| (870) 245-7640 | |
| Not Available |
| Full Name | Raven Holistic Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5289 Greene 628 Rd, Paragould, Arkansas |
| Authorized Official Name and Position | Jeremey L Beasley (OWNER/THERAPIST) |
| Authorized Official Contact | 8702457640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Holistic Health Llc 5289 Greene 628 Rd Paragould AR 72450-8025 Ph: (870) 245-7640 | Raven Holistic Health Llc 5289 Greene 628 Rd Paragould AR 72450-8025 Ph: (870) 245-7640 |
| NPI Number | 1356060701 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356060701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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