Conway Psychiatric Clinic, Pllc

LBN: Conway Psychiatric Clinic, Pllc
Conway Psychiatric Clinic, Pllc is an health care organization with primary practice located at 5330 Plantation Cv , Conway AR 72034-8586. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Conway Psychiatric Clinic, Pllc can be contacted via phone (501) 472-7697, or through Clark, Raymond Harlech via phone (501) 472-7697.

Contact Information

Primary practice address
5330 Plantation Cv Conway AR 72034-8586
Phone: (501) 472-7697
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Raymond Harlech Doctor of Medicine (MD)
Phone: (501) 472-7697

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C-8236 Arkansas

Profile Details

NPI number 1972808145
LBN Legal business name Conway Psychiatric Clinic, Pllc
DBA Doing business as
Authorized official Clark, Raymond Harlech Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2011
Last updated Jan 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972808145 NPPES
Arkansas MEDICAID 129952001

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