| Spa City Counseling Llc | |
|
1401 Malvern Ave Ste 150 Hot Springs AR 71901-6370 | |
| (501) 701-4229 | |
| Not Available |
| Full Name | Spa City Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1401 Malvern Ave Ste 150, Hot Springs, Arkansas |
| Authorized Official Name and Position | Sharlyn Woody (OWNER) |
| Authorized Official Contact | 5012762133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa City Counseling Llc 1401 Malvern Ave Ste 150 Hot Springs AR 71901-6370 Ph: (501) 701-4229 | Spa City Counseling Llc 1401 Malvern Ave Ste 150 Hot Springs AR 71901-6370 Ph: (501) 701-4229 |
| NPI Number | 1598341125 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Medicare PECOS PAC ID | 4981012051 |
|---|---|
| Medicare Enrollment ID | O20210412000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598341125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharlyn Ann Woody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962475517 PECOS PAC ID: 8325220874 Enrollment ID: I20110304000655 |
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