| Arkansas Psychotherapy | |
|
2902 E Kiehl Ave #1a Sherwood AR 72120-3226 | |
| (501) 834-2727 | |
| (501) 834-2242 |
| Full Name | Arkansas Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 2902 E Kiehl Ave, Sherwood, Arkansas |
| Authorized Official Name and Position | Patricia Scott (OWNER) |
| Authorized Official Contact | 5018342727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Psychotherapy 2902 E Kiehl Ave #1a Sherwood AR 72120-3226 Ph: (501) 834-2727 | Arkansas Psychotherapy 2902 E Kiehl Ave #1a Sherwood AR 72120-3226 Ph: (501) 834-2727 |
| NPI Number | 1568459972 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648214338 |
|---|---|
| Medicare Enrollment ID | O20050614000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568459972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia A Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932196425 PECOS PAC ID: 2365425253 Enrollment ID: I20040610001800 |
| Provider Name | Mary Beth Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851433700 PECOS PAC ID: 3375855489 Enrollment ID: I20150702000478 |
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