Provider Demographics
NPI:1326595687
Name:G&E THERAPY PROVIDERS INC
Entity Type:Organization
Organization Name:G&E THERAPY PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-277-2422
Mailing Address - Street 1:2124 SHOSHONI DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6041
Mailing Address - Country:US
Mailing Address - Phone:870-277-2422
Mailing Address - Fax:865-268-2982
Practice Address - Street 1:1218 STONE ST
Practice Address - Street 2:SUITE 205
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4528
Practice Address - Country:US
Practice Address - Phone:870-277-2422
Practice Address - Fax:865-268-2982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-04
Last Update Date:2016-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2251-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health