| Resolutions Behavioral Health Service, Llc. | |
|
302 Main St Crossett AR 71635-2928 | |
| (870) 305-1221 | |
| (870) 364-9774 |
| Full Name | Resolutions Behavioral Health Service, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 302 Main St, Crossett, Arkansas |
| Authorized Official Name and Position | Yolanda C Johnson-martin (OWNER) |
| Authorized Official Contact | 8705002324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolutions Behavioral Health Service, Llc. Po Box 562 Crossett AR 71635-0562 Ph: (870) 500-2324 | Resolutions Behavioral Health Service, Llc. 302 Main St Crossett AR 71635-2928 Ph: (870) 305-1221 |
| NPI Number | 1992279731 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/29/2024 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 0547509846 |
|---|---|
| Medicare Enrollment ID | O20190305000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992279731 | NPI | - | NPPES |
| Provider Name | Althea T Conley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114995198 PECOS PAC ID: 7517851413 Enrollment ID: I20040819000963 |
| Provider Name | Lashonda Evetta Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245345 PECOS PAC ID: 8426034331 Enrollment ID: I20160527000212 |
| Provider Name | Yolanda Chavea Johnson-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154570521 PECOS PAC ID: 3870855737 Enrollment ID: I20180313001648 |
| Provider Name | Lizbeth Laura Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043867914 PECOS PAC ID: 9234561424 Enrollment ID: I20191108000595 |
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