| Shared Families Of Northwest Arkansas L.l.c. | |
|
805 N 20th Pl Ste 1 Rogers AR 72756-3571 | |
| (479) 274-8271 | |
| (888) 624-0137 |
| Full Name | Shared Families Of Northwest Arkansas L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 805 N 20th Pl Ste 1, Rogers, Arkansas |
| Authorized Official Name and Position | Corey Childs (OWNER) |
| Authorized Official Contact | 4792748271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Families Of Northwest Arkansas L.l.c. 401 N 8th St # 997 Rogers AR 72756-3761 Ph: (479) 274-8271 | Shared Families Of Northwest Arkansas L.l.c. 805 N 20th Pl Ste 1 Rogers AR 72756-3571 Ph: (479) 274-8271 |
| NPI Number | 1679196992 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679196992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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