Healthcare Provider Details

I. General information

NPI: 1043266315
Provider Name (Legal Business Name): OZARK COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEDICAL PLZ
MOUNTAIN HOME AR
72654-1776
US

IV. Provider business mailing address

PO BOX 1776 8 MEDICAL PLZ
MOUNTAIN HOME AR
72653-2919
US

V. Phone/Fax

Practice location:
  • Phone: 870-425-6901
  • Fax: 870-424-8703
Mailing address:
  • Phone: 870-425-6901
  • Fax: 870-424-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CINDY D CROW
Title or Position: BILLING INSURANCE
Credential:
Phone: 870-425-6901