| Prevail Counseling Services, Llc | |
|
310 Mid Continent Plz Ste 404 West Memphis AR 72301-1700 | |
| (901) 294-9522 | |
| (855) 765-7701 |
| Full Name | Prevail Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 310 Mid Continent Plz Ste 404, West Memphis, Arkansas |
| Authorized Official Name and Position | Rachel Nelson (INCORPORATOR) |
| Authorized Official Contact | 9012959422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevail Counseling Services, Llc 706 Carter Dr Marion AR 72364-2403 Ph: (901) 295-9422 | Prevail Counseling Services, Llc 310 Mid Continent Plz Ste 404 West Memphis AR 72301-1700 Ph: (901) 294-9522 |
| NPI Number | 1376008433 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Medicare PECOS PAC ID | 1658724968 |
|---|---|
| Medicare Enrollment ID | O20240201004001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376008433 | NPI | - | NPPES |
| 1811209745 | Other | AR | MENTAL HEALTH THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rachel J Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811209745 PECOS PAC ID: 2466805783 Enrollment ID: I20240216000569 |
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