| Blue Sky Hope And Recovery Center | |
|
2615 N Prickett Rd Bryant AR 72022-7523 | |
| (501) 416-2170 | |
| Not Available |
| Full Name | Blue Sky Hope And Recovery Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2615 N Prickett Rd, Bryant, Arkansas |
| Authorized Official Name and Position | Stacey Kuchinski (OWNER) |
| Authorized Official Contact | 5014162170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Hope And Recovery Center 3711 Robinwood Cir Bryant AR 72022-8374 Ph: (501) 416-2170 | Blue Sky Hope And Recovery Center 2615 N Prickett Rd Bryant AR 72022-7523 Ph: (501) 416-2170 |
| NPI Number | 1750863049 |
|---|---|
| Provider Enumeration Date | 09/03/2018 |
| Last Update Date | 09/03/2018 |
| Medicare PECOS PAC ID | 1951645217 |
|---|---|
| Medicare Enrollment ID | O20181128000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750863049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stacey Kuchinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942243571 PECOS PAC ID: 7719963123 Enrollment ID: I20040626000241 |
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