Identity Behavior Health Services, LLC
NPI #1609464775 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1609464775
- Entity Type
- Organization
- Organization Name
- Identity Behavior Health Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 5, 2021
- Last Updated
- Jan 5, 2021
Practice Location
- Address
- 2401 SHERATON PARK DR
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6869
- Phone
- (870) 267-2200
Authorized Official
- Name
- KEVIN BARNETT, LCSW
- Title
- OWNER
- Phone
- (870) 267-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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