| Wendell E. Smith Counseling, Inc. | |
|
1809 Executive Sq Jonesboro AR 72401-6086 | |
| (870) 926-7356 | |
| Not Available |
| Full Name | Wendell E. Smith Counseling, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1809 Executive Sq, Jonesboro, Arkansas |
| Authorized Official Name and Position | Wendell Edward Smith (THERAPIST) |
| Authorized Official Contact | 8709267356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendell E. Smith Counseling, Inc. 422 W Highland Dr Jonesboro AR 72401-5816 Ph: (870) 926-7356 | Wendell E. Smith Counseling, Inc. 1809 Executive Sq Jonesboro AR 72401-6086 Ph: (870) 926-7356 |
| NPI Number | 1770152043 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770152043 | NPI | - | NPPES |
| 1215104740 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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