Tru Wellness, Pllc | |
211 W Pyburn St Pocahontas AR 72455-3355 | |
(870) 609-0082 | |
(870) 292-6960 |
Full Name | Tru Wellness, Pllc |
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Speciality | Social Worker |
Location | 211 W Pyburn St, Pocahontas, Arkansas |
Authorized Official Name and Position | Jennifer Rawls (ONCORPORATOR/ORGANIZER/PROVIDER) |
Authorized Official Contact | 8706090082 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tru Wellness, Pllc 211 W Pyburn St Pocahontas AR 72455-3355 Ph: (870) 609-0082 | Tru Wellness, Pllc 211 W Pyburn St Pocahontas AR 72455-3355 Ph: (870) 609-0082 |
NPI Number | 1083289706 |
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Provider Enumeration Date | 05/25/2021 |
Last Update Date | 10/05/2022 |
Certification Date | 10/05/2022 |
Medicare PECOS PAC ID | 4183029127 |
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Medicare Enrollment ID | O20210830000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083289706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer L Rawls |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013211424 PECOS PAC ID: 7315257912 Enrollment ID: I20151111001524 |
Provider Name | Ashley Erin Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255598983 PECOS PAC ID: 6709116502 Enrollment ID: I20190920001900 |
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