| Stable Minded, Llc | |
|
4415 N 2nd St Rogers AR 72756-7413 | |
| (479) 397-1807 | |
| Not Available |
| Full Name | Stable Minded, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4415 N 2nd St, Rogers, Arkansas |
| Authorized Official Name and Position | Kelly King (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 4793664241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stable Minded, Llc 8812 Old Dutch Elbow Rogers AR 72756-7862 Ph: (954) 817-3404 | Stable Minded, Llc 4415 N 2nd St Rogers AR 72756-7413 Ph: (479) 397-1807 |
| NPI Number | 1245961986 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245961986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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