Organization
SOUTH WIND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON TAIT PH.D. (PRESIDENT)
(701) 740-9624
Entity
Organization
Contact information
Practice address
3333 S PINNACLE HILLS PKWY STE 435, ROGERS, AR 72758-9095
(479) 235-4146
Mailing address
11127 E STONEBRIAR DR, BENTONVILLE, AR 72712-8064
(701) 740-9624
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
16-21P
AR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
16-22P
AR
Other
Enumeration date
04/10/2017
Last updated
05/11/2024
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