| The Regroup, Pllc | |
|
103 N Main St Searcy AR 72143-5421 | |
| (501) 593-3294 | |
| Not Available |
| Full Name | The Regroup, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 103 N Main St, Searcy, Arkansas |
| Authorized Official Name and Position | Samuel Butterfield (PARTNER) |
| Authorized Official Contact | 5015933294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regroup, Pllc 103 N Main St Searcy AR 72143-5421 Ph: () - | The Regroup, Pllc 103 N Main St Searcy AR 72143-5421 Ph: (501) 593-3294 |
| NPI Number | 1861838609 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/20/2013 |
| Medicare PECOS PAC ID | 5597006700 |
|---|---|
| Medicare Enrollment ID | O20190416000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861838609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | P1109081 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P1109081 (Arkansas) | Primary |
| Provider Name | Jami L Bever |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790200616 PECOS PAC ID: 7416280656 Enrollment ID: I20190604000251 |
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