Mr Freddy Russell Nail, | |
1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | |
(501) 987-8811 | |
Not Available |
Full Name | Mr Freddy Russell Nail |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1090 Arnold Dr, Little Rock Afb, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407431042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10341-C (Arkansas) | Primary |
Entity Name | Heber Springs Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255834081 PECOS PAC ID: 0244658284 Enrollment ID: O20200908002745 |
Mailing Address | Practice Location Address |
---|---|
Mr Freddy Russell Nail, 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-8811 | Mr Freddy Russell Nail, 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 Ph: (501) 987-8811 |
Melrita Maechel Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080 | |
Cara D Roth, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7377 | |
Ms. Katherine Milligan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 314 Mdos/sgoho 1090 Arnold Drive, Little Rock Afb, AR 72099 Phone: 501-987-7377 Fax: 501-987-8852 | |
John D Mathews, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7338 | |
Jeremy R Pallas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-3080 | |
Joshua Routt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7096 | |
Andre' P Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-0941 |