| Adrian Michelle Owen, | |
|
1205 E 35th St, Texarkana, AR 71854-2746 | |
| (870) 216-0080 | |
| (870) 216-0096 |
| Full Name | Adrian Michelle Owen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1205 E 35th St, Texarkana, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770605057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 09-01AE-PL (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P1302009 (Arkansas) | Primary |
| Entity Name | East Texas Border Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093186249 PECOS PAC ID: 8820038565 Enrollment ID: O20170629001989 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Michelle Owen, Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Adrian Michelle Owen, 1205 E 35th St, Texarkana, AR 71854-2746 Ph: (870) 216-0080 |
Terry Jerome Williams, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650 | |
Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315 | |
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 | |
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315 | |
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056 | |
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705 | |
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705 |