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NPI Code Detail

MEDICARE: OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.

MEDICARE: OUACHITA REGIONAL COUNSELING & 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
1208000000XPediatrics Physician
22084N0400XNeurology Physician
3208D00000XGeneral Practice Physician
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821087123
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 125 WELLNESS WAY
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6478
Country : US
Telephone Number : 501-624-7111
Fax Number : 501-620-5109
Provider Business Practice Location Address
First Line : 125 WELLNESS WAY
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6478
Country : US
Telephone Number : 501-624-7111
Fax Number : 501-620-5109
Authorized Official
Title or Position : CEO
Name : ROBERT GERSHON
Credential : PH.D.
Telephone Number : 501-624-7111
Provider Enumeration Date : 10/19/2005
Last Update Date : 01/31/2020

Similar Medicare Providers

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Practice Location Address:
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71913-6478
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1992755433 — MS. NANCY LOUISE HORNSTEIN M.D.
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1265451892 — SUSAN L MILLERD LCSW
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Directions to “OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC. ” Practice Location

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