| Face2face Therapy Llc | |
|
603 Harkrider St Conway AR 72032-5633 | |
| (501) 514-0417 | |
| Not Available |
| Full Name | Face2face Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 603 Harkrider St, Conway, Arkansas |
| Authorized Official Name and Position | Angela Campagna (OWNER/MANAGER) |
| Authorized Official Contact | 5015140417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Face2face Therapy Llc 603 Harkrider St Conway AR 72032-5633 Ph: () - | Face2face Therapy Llc 603 Harkrider St Conway AR 72032-5633 Ph: (501) 514-0417 |
| NPI Number | 1518444843 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 03/05/2019 |
| Medicare PECOS PAC ID | 5698014579 |
|---|---|
| Medicare Enrollment ID | O20190312001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518444843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8136-C (Arkansas) | Primary |
| Provider Name | Sharon Ld Dunaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093810947 PECOS PAC ID: 2365628955 Enrollment ID: I20110516000783 |
| Provider Name | Angela Campagna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568949899 PECOS PAC ID: 1759620636 Enrollment ID: I20190312001263 |
| Provider Name | Lori Jean Dather |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366059560 PECOS PAC ID: 3678983541 Enrollment ID: I20201104000678 |
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