Psycamore, Llc | |
6323 Ranch Dr Little Rock AR 72223-4623 | |
(601) 939-5993 | |
Not Available |
Full Name | Psycamore, Llc |
---|---|
Speciality | Clinic/center |
Location | 6323 Ranch Dr, Little Rock, Arkansas |
Authorized Official Name and Position | Sudhakar Madakasira (CEO/MEDICAL DIRECTOR) |
Authorized Official Contact | 6019395993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psycamore, Llc 2540 Flowood Dr Flowood MS 39232-9362 Ph: (601) 939-5993 | Psycamore, Llc 6323 Ranch Dr Little Rock AR 72223-4623 Ph: (601) 939-5993 |
NPI Number | 1588024574 |
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Provider Enumeration Date | 03/03/2016 |
Last Update Date | 03/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588024574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Arkansas) | Primary |
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