| Arkansas Counseling And Psychodiagnostics, Inc. | |
|
2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 | |
| (870) 230-8217 | |
| (870) 230-8201 |
| Full Name | Arkansas Counseling And Psychodiagnostics, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2607 Caddo St Ste 6, Arkadelphia, Arkansas |
| Authorized Official Name and Position | Charles Adolph Weiner (VICE PRESIDENT/COO) |
| Authorized Official Contact | 8702308217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Counseling And Psychodiagnostics, Inc. 2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 Ph: (870) 230-8217 | Arkansas Counseling And Psychodiagnostics, Inc. 2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 Ph: (870) 230-8217 |
| NPI Number | 1356838569 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 04/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356838569 | NPI | - | NPPES |
| 181395526 | Medicaid | AR | |
| 222173526 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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