| Mental Health And Wellness On Main | |
|
285 N Alley Ave Mammoth Spring AR 72554-8149 | |
| (870) 907-1060 | |
| (870) 907-0707 |
| Full Name | Mental Health And Wellness On Main |
|---|---|
| Speciality | Clinic/Center |
| Location | 285 N Alley Ave, Mammoth Spring, Arkansas |
| Authorized Official Name and Position | Laura Collette Young (CEO/PRESCRIBER) |
| Authorized Official Contact | 8709071060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health And Wellness On Main Po Box 152 Basehor KS 66007-0152 Ph: (870) 907-1060 | Mental Health And Wellness On Main 285 N Alley Ave Mammoth Spring AR 72554-8149 Ph: (870) 907-1060 |
| NPI Number | 1336872381 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 6002291275 |
|---|---|
| Medicare Enrollment ID | O20220923003002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336872381 | NPI | - | NPPES |
| Provider Name | Laura Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689349243 PECOS PAC ID: 7810372083 Enrollment ID: I20220923003007 |
Charlotte Featherston Counseling Agency, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 275 Main St, Mammoth Spring, AR 72554 Phone: 870-907-0848 Fax: 417-322-6099 | |
Transforming Lives Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1355 Tate Ave, Mammoth Spring, AR 72554 Phone: 870-625-0273 Fax: 870-625-0275 |