| Salt Counseling And Consultation, Inc. | |
|
8 Wilson Farm Rd Ste D Greenbrier AR 72058-8200 | |
| (501) 557-6785 | |
| Not Available |
| Full Name | Salt Counseling And Consultation, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 8 Wilson Farm Rd Ste D, Greenbrier, Arkansas |
| Authorized Official Name and Position | Kimberly Johnson (CO-FOUNDER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5015819109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Counseling And Consultation, Inc. 8 Wilson Farm Rd Ste D Greenbrier AR 72058-8200 Ph: (501) 557-6785 | Salt Counseling And Consultation, Inc. 8 Wilson Farm Rd Ste D Greenbrier AR 72058-8200 Ph: (501) 557-6785 |
| NPI Number | 1184119257 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Medicare PECOS PAC ID | 6103252150 |
|---|---|
| Medicare Enrollment ID | O20200211000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184119257 | NPI | - | NPPES |
| 178911795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1409077 (Arkansas) | Primary |
| Provider Name | Haleigh Trotter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982966701 PECOS PAC ID: 7719278944 Enrollment ID: I20160620001081 |
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