| Surpass Behavioral Health | |
|
211 Se 34th St Ste 7 Bentonville AR 72712-4199 | |
| (615) 880-5782 | |
| (615) 815-1946 |
| Full Name | Surpass Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 211 Se 34th St Ste 7, Bentonville, Arkansas |
| Authorized Official Name and Position | Jessica Kirk (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 6158805782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surpass Behavioral Health Po Box 931142 Atlanta GA 31193-1142 Ph: (615) 696-6761 | Surpass Behavioral Health 211 Se 34th St Ste 7 Bentonville AR 72712-4199 Ph: (615) 880-5782 |
| NPI Number | 1417660655 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417660655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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