| Transitions Counseling Clinic Plc | |
|
304 W Collin Raye Dr Ste 103a De Queen AR 71832-2000 | |
| (501) 463-6625 | |
| (833) 615-0500 |
| Full Name | Transitions Counseling Clinic Plc |
|---|---|
| Speciality | Counselor |
| Location | 304 W Collin Raye Dr Ste 103a, De Queen, Arkansas |
| Authorized Official Name and Position | Leah Hanson (OWNER/OPERATOR) |
| Authorized Official Contact | 5014636625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Counseling Clinic Plc 304 W Collin Raye Dr Ste 103a De Queen AR 71832-2000 Ph: (501) 463-6625 | Transitions Counseling Clinic Plc 304 W Collin Raye Dr Ste 103a De Queen AR 71832-2000 Ph: (501) 463-6625 |
| NPI Number | 1902501281 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 7416318399 |
|---|---|
| Medicare Enrollment ID | O20230726000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902501281 | NPI | - | NPPES |
| Provider Name | Sheree Moskow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235108663 PECOS PAC ID: 1759320518 Enrollment ID: I20050430000075 |
| Provider Name | Catherine Stallard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619947447 PECOS PAC ID: 4385778133 Enrollment ID: I20100816000191 |
| Provider Name | Leah Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023337730 PECOS PAC ID: 7618338492 Enrollment ID: I20240206001558 |
Southwest Arkansas Counseling And Mental Health Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1312 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-7115 Fax: 870-642-3388 | |
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