|
| |
|
403 S Poplar St Ste F Searcy AR 72143-6000 | |
| (501) 279-9220 | |
| (501) 279-9450 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 403 S Poplar St Ste F, Searcy, Arkansas |
| Authorized Official Name and Position | Shane Frazier (CEO) |
| Authorized Official Contact | 5012233322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2110 Higdon Ferry Rd Ste D Hot Springs AR 71913-7288 Ph: (501) 262-2766 | 403 S Poplar St Ste F Searcy AR 72143-6000 Ph: (501) 279-9220 |
| NPI Number | 1255603973 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255603973 | NPI | - | NPPES |
| 190119526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
White County Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 S Main St, Searcy, AR 72143 Phone: 501-278-3100 Fax: 501-380-1011 | |
Cloverdale Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 E Park Ave, Searcy, AR 72143 Phone: 256-683-5219 | |
Clements Wellness Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 S Poplar St, Suite C, Searcy, AR 72143 Phone: 501-279-7600 Fax: 501-279-7605 |