Organization
ASCENT ACQUISITIONS CORP-PSC
Active
Other names
PEDIATRIC SPECIALTY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ALLGOOD (BILLING SPECIALIST)
(870) 819-0232
Entity
Organization
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Mailing address
3012 TURMAN DR, JONESBORO, AR 72404-8998
(870) 819-0200
(870) 819-0217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160783526
—
AR
05
—
160823742
—
AR
05
—
161357724
—
AR
01
—
5C082
BCBS
AR
Enumeration date
03/13/2007
Last updated
11/07/2012
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