| Pilotage Healing Inc. | |
|
4979 Old Greenwood Rd Ste B2 Fort Smith AR 72903-6906 | |
| (479) 289-5220 | |
| Not Available |
| Full Name | Pilotage Healing Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4979 Old Greenwood Rd Ste B2, Fort Smith, Arkansas |
| Authorized Official Name and Position | Vaughn Decoster (DIRECTOR) |
| Authorized Official Contact | 4794459814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilotage Healing Inc. 775 Laurel Dr Greenwood AR 72936-5714 Ph: (479) 445-9814 | Pilotage Healing Inc. 4979 Old Greenwood Rd Ste B2 Fort Smith AR 72903-6906 Ph: (479) 289-5220 |
| NPI Number | 1811797673 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811797673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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