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Organization

MENTAL HEALTH DIAGNOSTICS AND TELEPRESCRIBING

Active
Other names
Mental Health Diagnostics and TelePrescribing
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES RICHARD ACUP PMHNP (OWNER/INCORPORATOR/ORGANIZER)
(870) 373-1514
Entity
Organization

Contact information

Practice address
40 PLAZA WAY STE 8, MOUNTAIN HOME, AR 72653
(501) 344-6154
(501) 344-6154
Mailing address
801 LEEWOOD DR, HORSESHOE BEND, AR 72512-3918
(501) 344-6154
(501) 344-6154

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/06/2024
Last updated
06/06/2024
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