Organization
IDENTITY BEHAVIOR HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BARNETT LCSW (OWNER)
(870) 267-2200
Entity
Organization
Contact information
Practice address
2401 SHERATON PARK DR, PINE BLUFF, AR 71603-6869
(870) 267-2200
Mailing address
2401 SHERATON PARK DR, PINE BLUFF, AR 71603-6869
(870) 267-2200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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