| Real Moments Inc | |
|
211 E 4th St Russellville AR 72801-5133 | |
| (479) 857-0655 | |
| Not Available |
| Full Name | Real Moments Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 211 E 4th St, Russellville, Arkansas |
| Authorized Official Name and Position | Amy Smith (PRESIDENT) |
| Authorized Official Contact | 4798570655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Moments Inc 155 Ridge Rock Dr Russellville AR 72802-2226 Ph: (479) 857-0655 | Real Moments Inc 211 E 4th St Russellville AR 72801-5133 Ph: (479) 857-0655 |
| NPI Number | 1316838287 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316838287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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