Rock Mental Health, Llc | |
1 Medical Park Dr Benton AR 72015-3353 | |
(501) 408-2429 | |
(501) 408-2822 |
Full Name | Rock Mental Health, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1 Medical Park Dr, Benton, Arkansas |
Authorized Official Name and Position | Ahmad Yousaf (OWNER/MD) |
Authorized Official Contact | 5014082429 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rock Mental Health, Llc 5 Medical Park Dr Ste 304 Benton AR 72015-3745 Ph: (501) 408-2429 | Rock Mental Health, Llc 1 Medical Park Dr Benton AR 72015-3353 Ph: (501) 408-2429 |
NPI Number | 1174309389 |
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Provider Enumeration Date | 09/04/2023 |
Last Update Date | 05/31/2024 |
Certification Date | 05/31/2024 |
Medicare PECOS PAC ID | 9638527237 |
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Medicare Enrollment ID | O20231120002938 |
Identifier | Type | State | Issuer |
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1174309389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | David Robert Draney |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891141644 PECOS PAC ID: 7416295282 Enrollment ID: I20190221000208 |
Provider Name | Shawn Crow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043907223 PECOS PAC ID: 1850752965 Enrollment ID: I20230804000762 |
Provider Name | Gregory F Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497446975 PECOS PAC ID: 3870830417 Enrollment ID: I20231121000460 |
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