Healthcare Provider Details

I. General information

NPI: 1497506687
Provider Name (Legal Business Name): PAT J BRUNO DBA THREE STRANDS MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RHONDA LN
ROSE BUD AR
72137-8003
US

IV. Provider business mailing address

105 RHONDA LN
ROSE BUD AR
72137-8003
US

V. Phone/Fax

Practice location:
  • Phone: 501-827-8134
  • Fax: 479-763-0105
Mailing address:
  • Phone: 501-827-8134
  • Fax: 479-763-0105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PAT J. BRUNO
Title or Position: OWNER
Credential: LCSW
Phone: 501-827-8136