| Sublette Therapeutic Services, Pllc | |
|
2001 Club Manor Dr Suite D Maumelle AR 72113-7411 | |
| (501) 352-2429 | |
| Not Available |
| Full Name | Sublette Therapeutic Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2001 Club Manor Dr, Maumelle, Arkansas |
| Authorized Official Name and Position | Bradley Charles Sublette (OWNER) |
| Authorized Official Contact | 5013522429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublette Therapeutic Services, Pllc 32 Belle River Cv Maumelle AR 72113-7024 Ph: (501) 352-2429 | Sublette Therapeutic Services, Pllc 2001 Club Manor Dr Suite D Maumelle AR 72113-7411 Ph: (501) 352-2429 |
| NPI Number | 1881132876 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881132876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6904-C (Arkansas) | Primary |
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