# MENTAL HEALTH DIAGNOSTICS AND TELEPRESCRIBING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mental Health Diagnostics and TelePrescribing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992552947
- **Authorized official:** JAMES RICHARD ACUP PMHNP (OWNER/INCORPORATOR/ORGANIZER)
- **Authorized official phone:** (870) 373-1514

## Contact information

- **Practice address:** 40 PLAZA WAY STE 8, MOUNTAIN HOME, AR 72653
- **Practice address phone:** (501) 344-6154
- **Practice address fax:** (501) 344-6154
- **Mailing address:** 801 LEEWOOD DR, HORSESHOE BEND, AR 72512-3918
- **Mailing address phone:** (501) 344-6154
- **Mailing address fax:** (501) 344-6154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 06/06/2024