Aretha Fulcher, LPC | |
1217 Stone St, Jonesboro, AR 72401-4520 | |
(870) 972-1268 | |
(870) 972-4911 |
Full Name | Aretha Fulcher |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1217 Stone St, Jonesboro, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487957635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A1009115 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P1407054 (Arkansas) | Primary |
Entity Name | Life Strategies Of Arkansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700950011 PECOS PAC ID: 1658360995 Enrollment ID: O20040511000740 |
Mailing Address | Practice Location Address |
---|---|
Aretha Fulcher, LPC 1217 Stone St, Jonesboro, AR 72401-4520 Ph: (870) 972-1268 | Aretha Fulcher, LPC 1217 Stone St, Jonesboro, AR 72401-4520 Ph: (870) 972-1268 |
Trebor Wellington Bosley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Shelena White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4080 Fax: 870-972-4905 | |
Kiara Danyel Griffin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Bethany Batchelor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2200 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-1268 Fax: 870-934-0847 | |
Mrs. Heather Renee Parker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Mr. Jeremy Russell Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72401 Phone: 870-933-6886 Fax: 870-933-9395 | |
Mrs. Jamie F. Fain, CADC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3308 Redwood Cv, Jonesboro, AR 72404 Phone: 870-219-3606 |