Organization
TAKING CHARGE
Active
Organization
TAKING CHARGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVA CLARK B.S. SOCIAL & BEHAVI (COORDINATOR)
(870) 540-7769
Entity
Organization
Contact information
Practice address
1116 S STATE ST, PINE BLUFF, AR 71601-5851
(870) 540-7769
(870) 247-1494
Mailing address
PO BOX 9802, PINE BLUFF, AR 71611-9802
(870) 540-7769
(870) 247-1494
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up