Organization
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Active
Other names
Methodist Counseling Clinic - Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLEY DON COLE (CFO)
(501) 661-0720
Entity
Organization
Contact information
Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
(870) 234-0706
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174674526
—
AR
Enumeration date
01/14/2009
Last updated
04/07/2016
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