| Ruby Wade Lcsw Llc | |
|
315 Lambert Rd Bismarck AR 71929-7704 | |
| (661) 376-0024 | |
| Not Available |
| Full Name | Ruby Wade Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 315 Lambert Rd, Bismarck, Arkansas |
| Authorized Official Name and Position | Ruby Wade (LCSW) |
| Authorized Official Contact | 6619723887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Wade Lcsw Llc Po Box 19 Bismarck AR 71929-0019 Ph: (661) 376-0024 | Ruby Wade Lcsw Llc 315 Lambert Rd Bismarck AR 71929-7704 Ph: (661) 376-0024 |
| NPI Number | 1669343547 |
|---|---|
| Provider Enumeration Date | 09/15/2025 |
| Last Update Date | 09/15/2025 |
| Certification Date | 09/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669343547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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