Hudefi Mental Health Services Pllc | |
2010 Chestnut St Van Buren AR 72956-5321 | |
(479) 782-5500 | |
Not Available |
Full Name | Hudefi Mental Health Services Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2010 Chestnut St, Van Buren, Arkansas |
Authorized Official Name and Position | Fayz A Hudefi (OWNER) |
Authorized Official Contact | 4793530901 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hudefi Mental Health Services Pllc Po Box 10674 Fort Smith AR 72917-0674 Ph: (479) 782-5500 | Hudefi Mental Health Services Pllc 2010 Chestnut St Van Buren AR 72956-5321 Ph: (479) 782-5500 |
NPI Number | 1649597220 |
---|---|
Provider Enumeration Date | 04/22/2010 |
Last Update Date | 08/31/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649597220 | NPI | - | NPPES |
5N608 | Other | AR | BCBS |
06070018900 | Other | AR | QUALCHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E4773 (Arkansas) | Primary |
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