| Interventions Behavioral Health Service Llc | |
|
200 N Alabama St Crossett AR 71635-2808 | |
| (870) 415-7845 | |
| (877) 293-9503 |
| Full Name | Interventions Behavioral Health Service Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 N Alabama St, Crossett, Arkansas |
| Authorized Official Name and Position | Megan T Harris (OWNER) |
| Authorized Official Contact | 8704157845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventions Behavioral Health Service Llc 107 Woodshire Dr Crossett AR 71635 Ph: (870) 415-7845 | Interventions Behavioral Health Service Llc 200 N Alabama St Crossett AR 71635-2808 Ph: (870) 415-7845 |
| NPI Number | 1841689163 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Medicare PECOS PAC ID | 1850716101 |
|---|---|
| Medicare Enrollment ID | O20200803002365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841689163 | NPI | - | NPPES |
| 173298795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1103022 (Arkansas) | Primary |
| Provider Name | Annie M Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932336054 PECOS PAC ID: 7416207709 Enrollment ID: I20180907000335 |
| Provider Name | Sandra Nicole Schenk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467136804 PECOS PAC ID: 9638531627 Enrollment ID: I20230808001190 |
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