Family Counseling & Diagnostic Clinic is a
Licensed Practical Nurse based in Forrest City, Arkansas. Family Counseling & Diagnostic Clinic is licensed to practice in Arkansas (license number 12763) and their current practice location is
3998 Highway 1 N, Forrest City, Arkansas. It can be reached at their office (for appointments etc.) via phone at
(870) 633-1737.
NPI number for Family Counseling & Diagnostic Clinic is 1184847576 and their current mailing address is Po Box 66, Wynne, Arkansas. Family Counseling & Diagnostic Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184847576.
Healthcare Provider's Profile
| Full Name | Family Counseling & Diagnostic Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3998 Highway 1 N, Forrest City, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184847576
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Family Counseling & Diagnostic Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184847576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 12763 (Arkansas) | Primary |
| 224Z00000X | Occupational Therapy Assistant | 12763 (Arkansas) | Primary |
| 225100000X | Physical Therapist | 12763 (Arkansas) | Primary |
| 225200000X | Physical Therapy Assistant | 12763 (Arkansas) | Primary |
| 225X00000X | Occupational Therapist | 12763 (Arkansas) | Primary |
| 101YM0800X | Counselor - Mental Health | 12763 (Arkansas) | Primary |
| 101YP2500X | Counselor - Professional | 12763 (Arkansas) | Primary |
| 133N00000X | Nutritionist | 12763 (Arkansas) | Primary |
| 163W00000X | Registered Nurse | 12763 (Arkansas) | Primary |
| 164W00000X | Licensed Practical Nurse | 12763 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Family Counseling & Diagnostic Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Family Counseling & Diagnostic Clinic
Po Box 66,
Wynne, AR 72396-0066
Ph: (870) 633-1737 | Family Counseling & Diagnostic Clinic
3998 Highway 1 N,
Forrest City, AR 72335-7637
Ph: (870) 633-1737 |
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