| Wacgc - Polk County Clinic | |
|
307 Cherry St Mena AR 71953-4382 | |
| (479) 452-6650 | |
| (479) 785-9495 |
| Full Name | Wacgc - Polk County Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 307 Cherry St, Mena, Arkansas |
| Authorized Official Name and Position | Jim West (CEO) |
| Authorized Official Contact | 4794526650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wacgc - Polk County Clinic Po Box 11818 Fort Smith AR 72917-1818 Ph: (479) 452-6650 | Wacgc - Polk County Clinic 307 Cherry St Mena AR 71953-4382 Ph: (479) 452-6650 |
| NPI Number | 1356516579 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 10/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356516579 | NPI | - | NPPES |
| 138596726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Brandi Titsworth Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Highway 71 S Ste C, Mena, AR 71953 Phone: 479-437-7967 Fax: 479-385-0260 | |
Wacgc-mena Sats Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Cherry St, Mena, AR 71953 Phone: 479-452-6650 Fax: 479-785-9495 | |
Inspired Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Highway 71 S, Mena, AR 71953 Phone: 479-437-7967 | |
Stephanie Matthews Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1142 Highway 71 S Ste C, Mena, AR 71953 Phone: 479-385-0260 | |
Ouachita Health Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste D, Mena, AR 71953 Phone: 479-222-0981 | |
Ouachita Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1142 Highway 71 S Ste C, Mena, AR 71953 Phone: 479-437-7967 Fax: 479-385-0260 |