Raena R Tinnon, | |
205 W Bond Ave, West Memphis, AR 72301-3907 | |
(870) 520-5014 | |
Not Available |
Full Name | Raena R Tinnon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 205 W Bond Ave, West Memphis, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184828303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (Arkansas) | Primary |
Entity Name | The Logan Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932119187 PECOS PAC ID: 0446208813 Enrollment ID: O20050112000472 |
Mailing Address | Practice Location Address |
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Raena R Tinnon, Po Box 11064, Fayetteville, AR 72703-1001 Ph: (870) 520-5014 | Raena R Tinnon, 205 W Bond Ave, West Memphis, AR 72301-3907 Ph: (870) 520-5014 |
Ms. Lenora Beason, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 Calvin Avery Dr, West Memphis, AR 72301 Phone: 870-732-1878 | |
Ms. Florence M Gibbs, PLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 Calvin Avery Dr Ste A, West Memphis, AR 72301 Phone: 870-732-1878 Fax: 870-702-7111 | |
Tanisha Kisha Thompson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 Mid Continent Plz Ste 400, West Memphis, AR 72301 Phone: 601-497-5824 | |
Ms. Doretha Jean Myers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1028 N Missouri St Ste 6, West Memphis, AR 72301 Phone: 870-400-0263 Fax: 870-400-0293 | |
Mr. Albert Edwin Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 S Avalon St, West Memphis, AR 72301 Phone: 870-394-9577 Fax: 870-394-9575 | |
Kimberly Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 703 Calvin Avery Dr, West Memphis, AR 72301 Phone: 870-732-1878 Fax: 870-702-7111 |