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Miracle Kids Success Academy, Inc.
Rehabilitation Clinic/Center in Jonesboro, Arkansas
NPI 1568799658

Miracle Kids Success Academy, Inc. is a Rehabilitation Clinic/Center based in Jonesboro, AR and is specialized in Rehabilitation. Miracle Kids Success Academy, Inc. practices in Jonesboro, AR. The NPI Number for Miracle Kids Success Academy, Inc. is 1568799658 and holds a License No. (Arkansas).

The current practice location address for Miracle Kids Success Academy, Inc. is 1900 Stillwater Dr, Jonesboro, AR and can be reached out via phone at 870-932-3600 and via fax at 870-932-3611.

Location: 1900 Stillwater Dr, Jonesboro, AR, 72404-9119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568799658
Provider Name
Miracle Kids Success Academy, Inc.
Credential
Provider Entity Type
Organization
Address
1900 Stillwater Dr, Jonesboro, AR, 72404-9119
Phone Number
870-932-3600
Fax Number
870-932-3611
Provider Enumeration Date
11/10/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
179889724 05 AR
institution
Provider Business Practice Location Address Details
Address
1900 Stillwater Dr
City
Jonesboro
State
Arkansas
Zip
72404-9119
Phone Number
870-932-3600
Fax Number
870-932-3611
person
Provider Business Mailing Address Details
Address
1900 Stillwater Dr
City
Jonesboro
State
Arkansas
Zip
72404-9119
Phone Number
870-932-3600
Fax Number
870-932-3611
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
()
Definition
Definition to come...
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