| Micah Counseling, Llc | |
|
128 Southwinds Rd Ste 5 Farmington AR 72730-8678 | |
| (870) 270-9877 | |
| Not Available |
| Full Name | Micah Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Southwinds Rd Ste 5, Farmington, Arkansas |
| Authorized Official Name and Position | Chelsie Kennedy (LICENSED CERTIFIED SOCIAL WORKER) |
| Authorized Official Contact | 8702709877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Counseling, Llc 128 Southwinds Rd Ste 5 Farmington AR 72730-8678 Ph: (870) 270-9877 | Micah Counseling, Llc 128 Southwinds Rd Ste 5 Farmington AR 72730-8678 Ph: (870) 270-9877 |
| NPI Number | 1689333171 |
|---|---|
| Provider Enumeration Date | 12/11/2021 |
| Last Update Date | 12/11/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 7517353220 |
|---|---|
| Medicare Enrollment ID | O20220406000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689333171 | NPI | - | NPPES |
| Provider Name | Chelsie Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366961658 PECOS PAC ID: 9234525957 Enrollment ID: I20220406001509 |
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