| Stonehaven Behavioral Health And Wellness, Inc | |
|
16135 Highway 71 S Greenwood AR 72936-7218 | |
| (479) 996-5433 | |
| (479) 996-0438 |
| Full Name | Stonehaven Behavioral Health And Wellness, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16135 Highway 71 S, Greenwood, Arkansas |
| Authorized Official Name and Position | Colleen Jane Atchley (OWNER) |
| Authorized Official Contact | 4792218560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonehaven Behavioral Health And Wellness, Inc Po Box 57 Greenwood AR 72936-0057 Ph: (479) 996-5433 | Stonehaven Behavioral Health And Wellness, Inc 16135 Highway 71 S Greenwood AR 72936-7218 Ph: (479) 996-5433 |
| NPI Number | 1649678665 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 0446561203 |
|---|---|
| Medicare Enrollment ID | O20150619001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649678665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Colleen Atchley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578810487 PECOS PAC ID: 0547419350 Enrollment ID: I20121010000406 |
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