MAXUS NPI 1689798993

NPI Information

MAXUS is a mental health counselor in Malvern, AR. MAXUS NPI is 1689798993. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

132 W 2ND ST
MALVERN, AR
ZIP 72104-708
Phone: (501) 776-1191
Fax: (501) 776-1194

The provider's authorized official is Ted Shul .
The authorized official title is Ceo and has the following contact phone number (870) 647-2541.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

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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