Amber Brossett, LCSW | |
1125 Skyline Dr, Conway, AR 72032-2857 | |
(501) 504-7171 | |
(877) 370-4292 |
Full Name | Amber Brossett |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1125 Skyline Dr, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578947560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Arkansas) | Primary |
Entity Name | Boston Mountain Rural Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
Mailing Address | Practice Location Address |
---|---|
Amber Brossett, LCSW Po Box 1060, Marshall, AR 72650-1060 Ph: (501) 666-8686 | Amber Brossett, LCSW 1125 Skyline Dr, Conway, AR 72032-2857 Ph: (501) 504-7171 |
Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344 | |
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290 | |
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905 | |
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Mr. Collin Thomas Davies, M.A., LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Prince St Ste 53, Conway, AR 72034 Phone: 501-764-3002 Fax: 866-514-7628 | |
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941 |