| Renewed Oaks Therapy Llc | |
|
128 Southwinds Rd Farmington AR 72730-8678 | |
| (479) 267-6934 | |
| Not Available |
| Full Name | Renewed Oaks Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 128 Southwinds Rd, Farmington, Arkansas |
| Authorized Official Name and Position | Adam Persenaire (THERAPIST) |
| Authorized Official Contact | 4798795916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Oaks Therapy Llc Po Box 34 Prairie Grove AR 72753-0034 Ph: () - | Renewed Oaks Therapy Llc 128 Southwinds Rd Farmington AR 72730-8678 Ph: (479) 267-6934 |
| NPI Number | 1710717392 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 8729515242 |
|---|---|
| Medicare Enrollment ID | O20241223001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710717392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Adam N Persenaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518795657 PECOS PAC ID: 0042747057 Enrollment ID: I20250108000759 |
Charis Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 128 Southwinds Rd Ste 5&6, Farmington, AR 72730 Phone: 479-267-6934 Fax: 866-798-3345 | |
Cbc Professionals, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3331 E Heritage Pkwy, Farmington, AR 72730 Phone: 479-879-0094 Fax: 888-547-7660 | |
Aba Uncensored Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 N Mojave St, Farmington, AR 72730 Phone: 870-819-8511 | |
Think Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 N Tacoma St, Farmington, AR 72730 Phone: 916-223-2047 | |
Soul Spark Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Southwinds Rd, Farmington, AR 72730 Phone: 479-222-1156 | |
Guiding Solutions Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Southwinds Rd Ste 5, Farmington, AR 72730 Phone: 501-236-4788 | |
Faith Works On The Spectrum, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12530 Bethel Oaks Dr, Farmington, AR 72730 Phone: 214-493-6321 |