| Harmony Road Llc | |
|
1813 Executive Sq Jonesboro AR 72401-6086 | |
| (870) 899-0884 | |
| (870) 587-1514 |
| Full Name | Harmony Road Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1813 Executive Sq, Jonesboro, Arkansas |
| Authorized Official Name and Position | Hank Cohn (OWNER) |
| Authorized Official Contact | 8456610708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Road Llc Po Box 352 Guy AR 72061-0352 Ph: (870) 899-0884 | Harmony Road Llc 1813 Executive Sq Jonesboro AR 72401-6086 Ph: (870) 899-0884 |
| NPI Number | 1124747746 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Medicare PECOS PAC ID | 8628444296 |
|---|---|
| Medicare Enrollment ID | O20221024000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124747746 | NPI | - | NPPES |
| Provider Name | Keisha D Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598839581 PECOS PAC ID: 1355426982 Enrollment ID: I20080306000693 |
| Provider Name | Allison M Mcarthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780706473 PECOS PAC ID: 5092059576 Enrollment ID: I20181211001026 |
| Provider Name | Erin R Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548637531 PECOS PAC ID: 1254766645 Enrollment ID: I20200113001141 |
| Provider Name | Cathy Nicole Pettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415277 PECOS PAC ID: 1951794411 Enrollment ID: I20230224002651 |
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