| Charlotte Featherston Counseling Agency, Llc | |
|
275 Main St Mammoth Spring AR 72554-7484 | |
| (870) 907-0848 | |
| (417) 322-6099 |
| Full Name | Charlotte Featherston Counseling Agency, Llc |
|---|---|
| Speciality | Counselor |
| Location | 275 Main St, Mammoth Spring, Arkansas |
| Authorized Official Name and Position | Charlotte Ann Featherston (OWNER) |
| Authorized Official Contact | 8709070848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Featherston Counseling Agency, Llc Po Box 1142 Mammoth Spring AR 72554-1142 Ph: (870) 907-0848 | Charlotte Featherston Counseling Agency, Llc 275 Main St Mammoth Spring AR 72554-7484 Ph: (870) 907-0848 |
| NPI Number | 1447933569 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 3274984943 |
|---|---|
| Medicare Enrollment ID | O20240105004333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447933569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Charlotte Ann Featherston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679723225 PECOS PAC ID: 5092166769 Enrollment ID: I20240105004353 |
Mental Health And Wellness On Main Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 275 Main St, Mammoth Spring, AR 72554 Phone: 913-787-5292 Fax: 870-606-2709 | |
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