| Vine And Root Llc | |
|
915 E Beebe Capps Expy Searcy AR 72143-6865 | |
| (015) 827-0989 | |
| Not Available |
| Full Name | Vine And Root Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 915 E Beebe Capps Expy, Searcy, Arkansas |
| Authorized Official Name and Position | Slade Hickmon (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5017291700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine And Root Llc 915 E Beebe Capps Expy Searcy AR 72143-6865 Ph: (501) 729-1700 | Vine And Root Llc 915 E Beebe Capps Expy Searcy AR 72143-6865 Ph: (015) 827-0989 |
| NPI Number | 1497477814 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497477814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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