Provider Demographics
NPI:1124659867
Name:OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-620-5119
Mailing Address - Street 1:125 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6478
Mailing Address - Country:US
Mailing Address - Phone:501-624-7111
Mailing Address - Fax:501-620-5254
Practice Address - Street 1:371 HIGHWAY 70 E STE A
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:AR
Practice Address - Zip Code:71943-8832
Practice Address - Country:US
Practice Address - Phone:870-782-0179
Practice Address - Fax:870-782-0293
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)