| Chakiah Elaine Wallace, LAC | |
|
3965 Sydney Dr, Conway, AR 72034-7791 | |
| (501) 438-2870 | |
| Not Available |
| Full Name | Chakiah Elaine Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 3965 Sydney Dr, Conway, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902629199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Chakiah Elaine Wallace, LAC 3965 Sydney Dr, Conway, AR 72034-7791 Ph: (501) 438-2870 | Chakiah Elaine Wallace, LAC 3965 Sydney Dr, Conway, AR 72034-7791 Ph: (501) 438-2870 |
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 |