| Mulberry Lodge Cssp, Llc | |
|
949 N Main St Mulberry AR 72947-8538 | |
| (479) 997-8001 | |
| (479) 997-1255 |
| Full Name | Mulberry Lodge Cssp, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 949 N Main St, Mulberry, Arkansas |
| Authorized Official Name and Position | Claude Bryant (REGIONAL ADMIN / OWNER) |
| Authorized Official Contact | 4796507083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mulberry Lodge Cssp, Llc 6500 Rye Hill Rd E Fort Smith AR 72916-8397 Ph: (479) 650-7083 | Mulberry Lodge Cssp, Llc 949 N Main St Mulberry AR 72947-8538 Ph: (479) 997-8001 |
| NPI Number | 1689546368 |
|---|---|
| Provider Enumeration Date | 09/22/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689546368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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