Nicholas David Brumfield, MHPP | |
1502 Mary Kay Blvd, Benton, AR 72015 | |
(501) 315-3344 | |
Not Available |
Full Name | Nicholas David Brumfield |
---|---|
Gender | Male |
Speciality | Case Manager/care Coordinator |
Location | 1502 Mary Kay Blvd, Benton, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235389370 | NPI | - | NPPES |
1235389370 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicholas David Brumfield, MHPP Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344 | Nicholas David Brumfield, MHPP 1502 Mary Kay Blvd, Benton, AR 72015 Ph: (501) 315-3344 |
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