| Shelly Reaves Counseling Services | |
|
1732 Se Moberly Ln Bentonville AR 72712-9239 | |
| (479) 422-4657 | |
| Not Available |
| Full Name | Shelly Reaves Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1732 Se Moberly Ln, Bentonville, Arkansas |
| Authorized Official Name and Position | Shelly Reaves (OWNER) |
| Authorized Official Contact | 4794224657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Reaves Counseling Services 1732 Se Moberly Ln Bentonville AR 72712-9239 Ph: (479) 422-4657 | Shelly Reaves Counseling Services 1732 Se Moberly Ln Bentonville AR 72712-9239 Ph: (479) 422-4657 |
| NPI Number | 1306614318 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 0547605990 |
|---|---|
| Medicare Enrollment ID | O20240226002400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306614318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Shelly Suzan Reaves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528397726 PECOS PAC ID: 2365887718 Enrollment ID: I20240226002484 |
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