| Sankofa Consulting And Counseling Services Llc | |
|
2223 Washington Ave Ste C Conway AR 72032-2765 | |
| (501) 339-3860 | |
| (833) 653-6333 |
| Full Name | Sankofa Consulting And Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2223 Washington Ave Ste C, Conway, Arkansas |
| Authorized Official Name and Position | Candace Baker (OWNER/PROVIDER) |
| Authorized Official Contact | 5013393860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Consulting And Counseling Services Llc Po Box 3 Menifee AR 72107-0003 Ph: (501) 339-3860 | Sankofa Consulting And Counseling Services Llc 2223 Washington Ave Ste C Conway AR 72032-2765 Ph: (501) 339-3860 |
| NPI Number | 1306480942 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 2365875861 |
|---|---|
| Medicare Enrollment ID | O20191213000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306480942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Candace A Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972899052 PECOS PAC ID: 3577846187 Enrollment ID: I20170206001140 |
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