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1484 West 1st Street, North Prescott AR 71857 | |
| (870) 772-5028 | |
| (870) 774-1146 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1484 West 1st Street, North, Prescott, Arkansas |
| Authorized Official Name and Position | Brian P. Farley (VICE PRESIDENT & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
830 Crescent Gate Drive Suite 610 Franklin TN 37067 Ph: (615) 861-6000 | 1484 West 1st Street, North Prescott AR 71857 Ph: (870) 772-5028 |
| NPI Number | 1366607897 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 08/27/2023 |
| Certification Date | 08/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366607897 | NPI | - | NPPES |
| PENDING | Medicaid | AR | |
| PENDING | Other | AR | BLUE CROSS |
| PENDING | Other | AR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Southwest Arkansas Counseling And Mental Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1658 Highway 371 West, Prescott, AR 71857 Phone: 870-887-3660 Fax: 870-887-3705 | |
South Arkansas Regional Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 E Elm St, Prescott, AR 71857 Phone: 870-887-1158 |