| Jackie Coombe-moore Pa | |
|
680 Hogan Ln Conway AR 72034-8131 | |
| (501) 505-8900 | |
| (501) 505-8902 |
| Full Name | Jackie Coombe-moore Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 680 Hogan Ln, Conway, Arkansas |
| Authorized Official Name and Position | Jackie Coombe-moore (PRESIDENT) |
| Authorized Official Contact | 5015058900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Coombe-moore Pa 680 Hogan Ln Conway AR 72034-8131 Ph: (501) 505-8900 | Jackie Coombe-moore Pa 680 Hogan Ln Conway AR 72034-8131 Ph: (501) 505-8900 |
| NPI Number | 1841513223 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841513223 | NPI | - | NPPES |
| 11547000000 | Other | AR | QCA |
| 55779 | Other | AR | MEDICARE PTAN |
| 122013001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Dayspring Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Bruce St, Conway, AR 72034 Phone: 501-336-0100 Fax: 501-336-0115 | |
Leslie Thomas, M.s., Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1422 Caldwell St, Suite H, Conway, AR 72034 Phone: 501-499-9231 Fax: 501-904-4373 | |
Catalyst Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Harrison St, Conway, AR 72032 Phone: 501-500-4114 Fax: 501-764-4555 | |
Conway County Community Service Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 N Creek Dr, Conway, AR 72032 Phone: 501-327-9788 Fax: 501-327-9843 | |
Wellnite Medical Group Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 Prince St, Conway, AR 72034 Phone: 341-888-7637 | |
Therapy Assessment Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-291-3091 Fax: 501-588-0484 | |
Conway Regional Medical Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2200 Ada Ave Ste 302a, Conway, AR 72034 Phone: 501-932-0352 Fax: 501-932-0354 |