| Reach Behavioral Health | |
|
17724 Interstate 30 N Benton AR 72019-2907 | |
| (501) 580-3124 | |
| Not Available |
| Full Name | Reach Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 17724 Interstate 30 N, Benton, Arkansas |
| Authorized Official Name and Position | Penny Jester (CEO) |
| Authorized Official Contact | 5015803124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach Behavioral Health 17706 Interstate 30 N Benton AR 72019-2907 Ph: (501) 580-3124 | Reach Behavioral Health 17724 Interstate 30 N Benton AR 72019-2907 Ph: (501) 580-3124 |
| NPI Number | 1093379935 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 6103256052 |
|---|---|
| Medicare Enrollment ID | O20200417000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093379935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295870640 PECOS PAC ID: 2163852021 Enrollment ID: I20200417000886 |
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