| Center For Psychiatric Wellness, Pllc. | |
|
7217 Cameron Park Dr Fort Smith AR 72903-6167 | |
| (479) 831-6007 | |
| (479) 782-1242 |
| Full Name | Center For Psychiatric Wellness, Pllc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7217 Cameron Park Dr, Fort Smith, Arkansas |
| Authorized Official Name and Position | Nancy Elizabeth Obana (OFFICE MANAGER) |
| Authorized Official Contact | 4798316007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychiatric Wellness, Pllc. Po Box 11137 Fort Smith AR 72917-1137 Ph: () - | Center For Psychiatric Wellness, Pllc. 7217 Cameron Park Dr Fort Smith AR 72903-6167 Ph: (479) 831-6007 |
| NPI Number | 1457733099 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 11/01/2018 |
| Medicare PECOS PAC ID | 8527373232 |
|---|---|
| Medicare Enrollment ID | O20150810002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457733099 | NPI | - | NPPES |
| 210878002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-7817 (Arkansas) | Primary |
| Provider Name | James E Gattis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407878564 PECOS PAC ID: 1658553508 Enrollment ID: I20110314000553 |
| Provider Name | Tara L Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942574645 PECOS PAC ID: 0749443075 Enrollment ID: I20120523000401 |
| Provider Name | Rachel R Fiori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083887483 PECOS PAC ID: 8820236227 Enrollment ID: I20130524000021 |
| Provider Name | Kristi M Kindrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194969584 PECOS PAC ID: 3779727441 Enrollment ID: I20130919000064 |
| Provider Name | William C Kindrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083858427 PECOS PAC ID: 3274767397 Enrollment ID: I20131003000326 |
| Provider Name | Brenden Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134405806 PECOS PAC ID: 9032494059 Enrollment ID: I20170314000600 |
| Provider Name | Tiffany R Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962094565 PECOS PAC ID: 5193132108 Enrollment ID: I20210318000303 |
| Provider Name | Chelsey E Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467168989 PECOS PAC ID: 7517315138 Enrollment ID: I20231121000382 |
| Provider Name | Thomas C Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992968838 PECOS PAC ID: 7315395316 Enrollment ID: I20231201001192 |
| Provider Name | Kacie D Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811258809 PECOS PAC ID: 5294184875 Enrollment ID: I20231207002308 |
| Provider Name | Jonathan G Seubold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073887238 PECOS PAC ID: 9335598259 Enrollment ID: I20231218000661 |
| Provider Name | Lisa Diann Little |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235151382 PECOS PAC ID: 8820448145 Enrollment ID: I20231229000274 |
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