| Still Waters Consulting Group, Llc | |
|
505 W Pershing Blvd Ste C North Little Rock AR 72114-2157 | |
| (501) 500-0190 | |
| (501) 492-6495 |
| Full Name | Still Waters Consulting Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 505 W Pershing Blvd Ste C, North Little Rock, Arkansas |
| Authorized Official Name and Position | Caren R Moore (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5015000190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Consulting Group, Llc 505 W Pershing Blvd Ste C North Little Rock AR 72114-2157 Ph: (501) 500-0190 | Still Waters Consulting Group, Llc 505 W Pershing Blvd Ste C North Little Rock AR 72114-2157 Ph: (501) 500-0190 |
| NPI Number | 1326695271 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 6901212968 |
|---|---|
| Medicare Enrollment ID | O20210317001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326695271 | NPI | - | NPPES |
| 5BL70 | Other | AR | BLUE CROSS OF ARKANSAS |
| Provider Name | Caren R Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649632407 PECOS PAC ID: 4981934932 Enrollment ID: I20190918001486 |
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