| Zenith Behavioral Health And Wellness Pllc | |
|
101 Mccain Blvd West Memphis AR 72301-2650 | |
| (870) 293-0519 | |
| (870) 293-0544 |
| Full Name | Zenith Behavioral Health And Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Mccain Blvd, West Memphis, Arkansas |
| Authorized Official Name and Position | Latoria Boyland (OWNER) |
| Authorized Official Contact | 9012306341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Behavioral Health And Wellness Pllc 101 Mccain Blvd West Memphis AR 72301-2650 Ph: (870) 293-0519 | Zenith Behavioral Health And Wellness Pllc 101 Mccain Blvd West Memphis AR 72301-2650 Ph: (870) 293-0519 |
| NPI Number | 1578329942 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 7315386844 |
|---|---|
| Medicare Enrollment ID | O20240417001764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578329942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latoria Ann Boyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679209597 PECOS PAC ID: 9133568660 Enrollment ID: I20240417002177 |
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