| Win Within Therapy Group | |
|
3531 Market Place Ave. Ste 200 Bryant AR 72022-8810 | |
| (870) 858-0303 | |
| (479) 763-0030 |
| Full Name | Win Within Therapy Group |
|---|---|
| Speciality | Counselor |
| Location | 3531 Market Place Ave. Ste 200, Bryant, Arkansas |
| Authorized Official Name and Position | Marquis Walker (DIRECTOR/OWNER) |
| Authorized Official Contact | 8708580303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Win Within Therapy Group 2818 Whisker Way Benton AR 72015-2742 Ph: (870) 858-0303 | Win Within Therapy Group 3531 Market Place Ave. Ste 200 Bryant AR 72022-8810 Ph: (870) 858-0303 |
| NPI Number | 1063109916 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 03/30/2026 |
| Certification Date | 03/30/2026 |
| Medicare PECOS PAC ID | 6204363724 |
|---|---|
| Medicare Enrollment ID | O20241223001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063109916 | NPI | - | NPPES |
| 1851971881 | Medicaid | AR | |
| 1063109916 | Other | AR | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 225X00000X | Occupational Therapist | () | Secondary |
| Provider Name | Marquis D Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851971881 PECOS PAC ID: 2769855493 Enrollment ID: I20230228002635 |
| Provider Name | Makaya Banks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306694740 PECOS PAC ID: 8820439177 Enrollment ID: I20240516004117 |
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