| Arkansas Behavioral Center (abc), Llc | |
|
9101 Kanis Rd #201 Little Rock AR 72205-6456 | |
| (501) 960-5779 | |
| (501) 537-0176 |
| Full Name | Arkansas Behavioral Center (abc), Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9101 Kanis Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Krameelah Marshae Banks (PSYCHOLOGIST) |
| Authorized Official Contact | 5019605779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Behavioral Center (abc), Llc 9101 Kanis Rd #201 Little Rock AR 72205-6456 Ph: (501) 960-5779 | Arkansas Behavioral Center (abc), Llc 9101 Kanis Rd #201 Little Rock AR 72205-6456 Ph: (501) 960-5779 |
| NPI Number | 1457609869 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Medicare PECOS PAC ID | 4981853744 |
|---|---|
| Medicare Enrollment ID | O20121011000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457609869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 05-13P (Arkansas) | Primary |
| Provider Name | Krameelah Banks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245291970 PECOS PAC ID: 6901810381 Enrollment ID: I20131120001424 |
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