| Russellville Branch | |
|
210 N Shamrock Blvd Russellville AR 72802-9658 | |
| (479) 968-2263 | |
| Not Available |
| Full Name | Russellville Branch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 N Shamrock Blvd, Russellville, Arkansas |
| Authorized Official Name and Position | Rolando Garcia (CFO) |
| Authorized Official Contact | 5013153344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russellville Branch Po Box 1589 Benton AR 72018-1589 Ph: (501) 315-3344 | Russellville Branch 210 N Shamrock Blvd Russellville AR 72802-9658 Ph: (479) 968-2263 |
| NPI Number | 1831349851 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 03/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831349851 | NPI | - | NPPES |
| 171623526 | Medicaid | AR | |
| 116374726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arkansas) | Primary |
Inhope Counseling Services Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 479-393-9866 Fax: 479-358-1464 | |
St . Mary's Regional Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 Fax: 479-968-8189 | |
Counseling Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 16th St, Russellville, AR 72802 Phone: 479-967-1397 Fax: 479-890-5632 | |
Beautiful Path Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 501-500-1545 Fax: 479-777-9928 | |
A Gentle Journey Corportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Russellville, AR 72801 Phone: 479-223-0326 | |
Lake Point Recovery And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Arvac Lane, Russellville, AR 72802 Phone: 479-219-5292 Fax: 479-370-0361 | |
Tracy Tullos Southern Therapy Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Suite 2, Russellville, AR 72801 Phone: 479-576-2799 |