| Methodist Counseling Clinic - Fayetteville | |
|
74 W Sunbridge Dr Fayetteville AR 72703-1822 | |
| (479) 582-5565 | |
| (479) 582-5574 |
| Full Name | Methodist Counseling Clinic - Fayetteville |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 74 W Sunbridge Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Lesley Don Cole (CFO) |
| Authorized Official Contact | 5016610720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Counseling Clinic - Fayetteville 1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6676 Ph: (501) 661-0720 | Methodist Counseling Clinic - Fayetteville 74 W Sunbridge Dr Fayetteville AR 72703-1822 Ph: (479) 582-5565 |
| NPI Number | 1417111048 |
|---|---|
| Provider Enumeration Date | 07/13/2008 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417111048 | NPI | - | NPPES |
| 174676526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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