# WATCH MOUNTAIN CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659989309
- **Authorized official:** TONYA L CHAMBERS (OWNER OF ENTITY)
- **Authorized official phone:** (479) 957-9718

## Contact information

- **Practice address:** 601 MAPLE AVE, MENA, AR 71953-3227
- **Practice address phone:** (479) 216-1172
- **Mailing address:** 601 MAPLE AVE, MENA, AR 71953-3227
- **Mailing address phone:** (479) 957-9718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 11/17/2020