| Arcadia Group, Llc | |
|
20203 Pineville Rd Long Beach MS 39560-3235 | |
| (601) 283-8806 | |
| Not Available |
| Full Name | Arcadia Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 20203 Pineville Rd, Long Beach, Mississippi |
| Authorized Official Name and Position | Arlin W Lang (OWNER) |
| Authorized Official Contact | 6018620526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcadia Group, Llc Po Box 434 Long Beach MS 39560-0434 Ph: (601) 862-0526 | Arcadia Group, Llc 20203 Pineville Rd Long Beach MS 39560-3235 Ph: (601) 283-8806 |
| NPI Number | 1013555242 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 9830540798 |
|---|---|
| Medicare Enrollment ID | O20240104004898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013555242 | NPI | - | NPPES |
| 07325758 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Arlin W Lang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508079948 PECOS PAC ID: 0749631604 Enrollment ID: I20240108004150 |
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