| Amanda Rowe, Llc | |
|
12745 Illinois Chapel Rd Prairie Grove AR 72753-8615 | |
| (501) 628-7443 | |
| Not Available |
| Full Name | Amanda Rowe, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12745 Illinois Chapel Rd, Prairie Grove, Arkansas |
| Authorized Official Name and Position | Amanda Rowe (OWNER) |
| Authorized Official Contact | 5016287443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rowe, Llc 12745 Illinois Chapel Rd Prairie Grove AR 72753-8615 Ph: (501) 628-7443 | Amanda Rowe, Llc 12745 Illinois Chapel Rd Prairie Grove AR 72753-8615 Ph: (501) 628-7443 |
| NPI Number | 1366255721 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 02/01/2025 |
| Certification Date | 02/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366255721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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