| Sisu Therapy And Consulting Services | |
|
1401 Malvern Ave Ste 152 Hot Springs AR 71901-6370 | |
| (501) 418-1000 | |
| (888) 915-0765 |
| Full Name | Sisu Therapy And Consulting Services |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Malvern Ave Ste 152, Hot Springs, Arkansas |
| Authorized Official Name and Position | Kathryn Paige Jaggers (OWNER) |
| Authorized Official Contact | 5014181000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Therapy And Consulting Services 1401 Malvern Ave Ste 152 Hot Springs AR 71901-6370 Ph: (501) 418-1000 | Sisu Therapy And Consulting Services 1401 Malvern Ave Ste 152 Hot Springs AR 71901-6370 Ph: (501) 418-1000 |
| NPI Number | 1740043025 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 0143663799 |
|---|---|
| Medicare Enrollment ID | O20240209003953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740043025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn Jaggers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801048723 PECOS PAC ID: 1254631443 Enrollment ID: I20151119000797 |
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