| S.a.f.e. Haven, Inc. | |
|
2300 S 57th St Suite 9a Fort Smith AR 72903-3808 | |
| (479) 478-6040 | |
| (479) 478-6140 |
| Full Name | S.a.f.e. Haven, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2300 S 57th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Nancy Cherylin Powell (CLLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4794786040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.a.f.e. Haven, Inc. 2300 S 57th St Suite 9a Fort Smith AR 72903-3808 Ph: (479) 478-6040 | S.a.f.e. Haven, Inc. 2300 S 57th St Suite 9a Fort Smith AR 72903-3808 Ph: (479) 478-6040 |
| NPI Number | 1790893246 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790893246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 97-16P (Arkansas) | Primary |
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