| Secure Foundation Counseling Pllc | |
|
818 E Matthews Ave Jonesboro AR 72401-3048 | |
| (870) 218-1722 | |
| (501) 712-3898 |
| Full Name | Secure Foundation Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 818 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Matthew Lloyd (OWNER) |
| Authorized Official Contact | 8708976688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Foundation Counseling Pllc Po Box 1541 Jonesboro AR 72403-1541 Ph: (870) 218-1722 | Secure Foundation Counseling Pllc 818 E Matthews Ave Jonesboro AR 72401-3048 Ph: (870) 218-1722 |
| NPI Number | 1073113650 |
|---|---|
| Provider Enumeration Date | 10/31/2020 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 5698114122 |
|---|---|
| Medicare Enrollment ID | O20240417001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073113650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Matthew Lloyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821332859 PECOS PAC ID: 8224477757 Enrollment ID: I20240425002234 |
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