Tangella Foreman, LCSW | |
4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | |
(870) 732-7920 | |
Not Available |
Full Name | Tangella Foreman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 13 Years |
Location | 4001 Commercial Center Dr Ste 2, Marion, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609164730 | NPI | - | NPPES |
226890719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4946-C (Arkansas) | Primary |
Entity Name | Revitalize Minds Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467188664 PECOS PAC ID: 5294111290 Enrollment ID: O20220928002057 |
Mailing Address | Practice Location Address |
---|---|
Tangella Foreman, LCSW 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Tangella Foreman, LCSW 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 Ph: (870) 732-7920 |
Lenora Coleman, THERAPIST Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Manor St, Marion, AR 72364 Phone: 870-739-6818 Fax: 870-739-1970 | |
Kelly Guidroz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-735-4441 Fax: 870-735-5441 | |
Mrs. Kristin Irene Young, MSSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Cypress Ave, East Arkansas Youth Services, Marion, AR 72364 Phone: 870-739-4219 | |
Dorothy Anna Mae Donelson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-735-4441 Fax: 870-735-5441 | |
Arnzie Johnson, MHP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 252 Manor St, Marion, AR 72364 Phone: 870-739-6818 Fax: 870-739-6821 | |
Linda Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Commercial Center Dr Ste 2, Marion, AR 72364 Phone: 870-732-7920 Fax: 870-732-7923 |