| Journey To A New You, Pllc | |
|
571gr 523 Rd Paragould AR 72450 | |
| (870) 450-9846 | |
| Not Available |
| Full Name | Journey To A New You, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 571gr 523 Rd, Paragould, Arkansas |
| Authorized Official Name and Position | Natasha Woods (OPERATIONAL MANAGER) |
| Authorized Official Contact | 8704509846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To A New You, Pllc 571gr 523 Rd Paragould AR 72450 Ph: (870) 450-9846 | Journey To A New You, Pllc 571gr 523 Rd Paragould AR 72450 Ph: (870) 450-9846 |
| NPI Number | 1891463998 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 4981088663 |
|---|---|
| Medicare Enrollment ID | O20220830000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891463998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Natasha L Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295966364 PECOS PAC ID: 8729223441 Enrollment ID: I20141002002542 |
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