Northeast Arkansas Community Mental Health Center

NPI 1043461510 - Counselor - 101YA0400X

NPI Details
NPI 1043461510
Enumeration Date 10/02/2008
Last Updated 12/12/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DONNIE DONNIE
Position PROVIDER CREDENTIALING
Phone (870) 763-2139
Fax (870) 972-4911
Practice Location
209 S LOCKARD ST
BLYTHEVILLE AR, 72315-2541, US
Phone (870) 763-2139
Fax (870) 972-4911
Business Location
2707 BROWNS LN
JONESBORO AR, 72401-7213, US
Phone (870) 972-4939
Fax (870) 972-4911
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Northeast Arkansas Community Mental Health Center NPI is 1043461510, taxonomy code is 101YA0400X Northeast Arkansas Community Mental Health Center physically located at 209 S Lockard St, Blytheville AR, 72315-2541. NPI Number 1033115704 has the healthcare provider type.

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1043461510 NPI number is provided on an as is basis without warranty of any kind. 1043461510 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Arkansas Community Mental Health Center are for informational purposes only.