| Tailgate Time Inc | |
|
778 County Road 680 Bay AR 72411-9300 | |
| (901) 832-3050 | |
| Not Available |
| Full Name | Tailgate Time Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 778 County Road 680, Bay, Arkansas |
| Authorized Official Name and Position | Amanda Michelle Barker (CO-FOUNDER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9018323050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tailgate Time Inc 778 County Road 680 Bay AR 72411-9300 Ph: (901) 832-3050 | Tailgate Time Inc 778 County Road 680 Bay AR 72411-9300 Ph: (901) 832-3050 |
| NPI Number | 1386505048 |
|---|---|
| Provider Enumeration Date | 11/21/2025 |
| Last Update Date | 11/21/2025 |
| Certification Date | 11/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386505048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |