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NPI Code Detail

MEDICARE: KIDS FOR THE FUTURE, INC.

MEDICARE: KIDS FOR THE FUTURE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency
2103TC2200XClinical Child & Adolescent Psychologist26859AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255507273
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDS FOR THE FUTURE, INC.
Provider Business Mailing Address
First Line : PO BOX 2192
Second Line :
City : FORREST CITY
State : AR
Zip : 72336-2192
Country : US
Telephone Number : 870-633-1737
Fax Number : 870-633-1738
Provider Business Practice Location Address
First Line : 1501 DAWSON RD
Second Line :
City : FORREST CITY
State : AR
Zip : 72335-2088
Country : US
Telephone Number : 870-630-2328
Fax Number : 870-662-6826
Authorized Official
Title or Position : CEO
Name : MRS. BESS GINTY
Credential :
Telephone Number : 870-633-1737
Provider Enumeration Date : 04/30/2008
Last Update Date : 05/19/2021

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Directions to “KIDS FOR THE FUTURE, INC. ” Practice Location

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