MED NPI 1225317621

NPI Information

MED is a pastoral counselor in Little Rock, AR. MED NPI is 1225317621. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1604 MERRILL DR
LITTLE ROCK, AR
ZIP 72211-818
Phone: (501) 240-5748

The provider's authorized official is Eric G Ware .
The authorized official title is Owner and has the following contact phone number (501) 240-5748.

The CLIA number assigned to this NPI record is 04D2106272 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 8/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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