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NPI Code Detail

MEDICARE: SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC

MEDICARE: SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, 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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

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 : 1598761553
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC
Provider Business Mailing Address
First Line : 2904 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-2536
Country : US
Telephone Number : 870-773-4655
Fax Number : 870-772-4650
Provider Business Practice Location Address
First Line : 2904 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-2536
Country : US
Telephone Number : 870-773-4655
Fax Number : 870-772-4650
Authorized Official
Title or Position : CEO
Name : MR. MICHAEL WORLEY
Credential :
Telephone Number : 870-773-4655
Provider Enumeration Date : 06/24/2005
Last Update Date : 01/24/2025

Similar Medicare Providers

1669478434 — MRS. SHARON C HOWARD PHD
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650
1124024187 — DR. MICHAEL J MCALLISTER PHD
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650
1033115001 — MRS. ROBIN JANELLE BARNES LCSW
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650
1528032307 — MARY J CEARLEY LPN
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650
1396714721 — MR. DWIGHT L SPERRY MA
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650
1669431607 — MRS. CARLA PAULINE WOOD LPC
Practice Location Address:
2904 ARKANSAS BLVD
TEXARKANA, AR
71854-2536
Practice Phone: 870-773-4655
Practice Fax: 870-772-4650

Directions to “SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC ” Practice Location

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