| Kh Behavioral Health | |
|
200 N Alabama St Crossett AR 71635-2808 | |
| (318) 789-4399 | |
| Not Available |
| Full Name | Kh Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 200 N Alabama St, Crossett, Arkansas |
| Authorized Official Name and Position | Kayley Harris (OWNER) |
| Authorized Official Contact | 3187894399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kh Behavioral Health 212 Ashley Road 203 Crossett AR 71635-9060 Ph: () - | Kh Behavioral Health 200 N Alabama St Crossett AR 71635-2808 Ph: (318) 789-4399 |
| NPI Number | 1457063067 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 2365812278 |
|---|---|
| Medicare Enrollment ID | O20230110000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457063067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kayley A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861873929 PECOS PAC ID: 7113285685 Enrollment ID: I20171212000279 |
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