| Servant's Heart Outreach | |
|
1200 W Walnut St Ste 1402 Rogers AR 72756-3521 | |
| (417) 268-8086 | |
| Not Available |
| Full Name | Servant's Heart Outreach |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1200 W Walnut St Ste 1402, Rogers, Arkansas |
| Authorized Official Name and Position | T Nicole Farrow (PRESIDENT) |
| Authorized Official Contact | 4172688086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Servant's Heart Outreach 1200 W Walnut St Ste 1400j Rogers AR 72756-3521 Ph: (417) 268-8086 | Servant's Heart Outreach 1200 W Walnut St Ste 1402 Rogers AR 72756-3521 Ph: (417) 268-8086 |
| NPI Number | 1306310008 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306310008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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