| Thrive Counseling And Consulting Services, Llc | |
|
607 N 1st St Ste 4 Jacksonville AR 72076-4142 | |
| (501) 708-5843 | |
| Not Available |
| Full Name | Thrive Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 607 N 1st St Ste 4, Jacksonville, Arkansas |
| Authorized Official Name and Position | Antionne Dewayne Alcorn (OWNER) |
| Authorized Official Contact | 5017085843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Counseling And Consulting Services, Llc 607 N 1st St Ste 4 Jacksonville AR 72076-4142 Ph: (501) 708-5843 | Thrive Counseling And Consulting Services, Llc 607 N 1st St Ste 4 Jacksonville AR 72076-4142 Ph: (501) 708-5843 |
| NPI Number | 1083267496 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 5597103861 |
|---|---|
| Medicare Enrollment ID | O20240404004366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083267496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Antionne Dewayne Alcorn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275678179 PECOS PAC ID: 4082050174 Enrollment ID: I20240409002516 |
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