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
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
(870) 245-2225
Mailing address
3012 TURMAN DR, JONESBORO, AR 72404-8998
(870) 819-0200
(870) 819-0217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160755724
—
AR
05
—
160761742
—
AR
05
—
160780526
—
AR
01
—
5C082
BCBS
AR
Enumeration date
03/12/2007
Last updated
04/12/2012
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