| Wellness Center Of Arkansas Llc | |
|
207 Progress Way Suite 105 Bryant AR 72022-7202 | |
| (501) 722-3578 | |
| Not Available |
| Full Name | Wellness Center Of Arkansas Llc |
|---|---|
| Speciality | Counselor |
| Location | 207 Progress Way, Bryant, Arkansas |
| Authorized Official Name and Position | Charis Mian (OWNER) |
| Authorized Official Contact | 5017223578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Center Of Arkansas Llc 207 Progress Way Suite 105 Bryant AR 72022-3578 Ph: (501) 722-3578 | Wellness Center Of Arkansas Llc 207 Progress Way Suite 105 Bryant AR 72022-7202 Ph: (501) 722-3578 |
| NPI Number | 1720855240 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 5496283285 |
|---|---|
| Medicare Enrollment ID | O20250107002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720855240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Charis Mian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457707457 PECOS PAC ID: 6305374190 Enrollment ID: I20250107002820 |
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