Chandler Bryan, LPC | |
710 S Holly St Ste 10, Siloam Springs, AR 72761-3304 | |
(479) 524-8618 | |
Not Available |
Full Name | Chandler Bryan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 710 S Holly St Ste 10, Siloam Springs, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689206971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P2401015 (Arkansas) | Primary |
101YM0800X | Counselor - Mental Health | A2007103 (Arkansas) | Secondary |
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
Entity Name | Arisa Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
Mailing Address | Practice Location Address |
---|---|
Chandler Bryan, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Chandler Bryan, LPC 710 S Holly St Ste 10, Siloam Springs, AR 72761-3304 Ph: (479) 524-8618 |
Carey Louise Rotramel, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Holly Street, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 | |
Poiema Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-524-5197 | |
Karen Abrahamson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 | |
Alexandra Mcduffie, Counselor Medicare: Medicare Enrolled Practice Location: 710 S Holly St Ste 10, Siloam Springs, AR 72761 Phone: 479-524-8618 | |
Kormah Dorko, LPC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Hico St, Siloam Springs, AR 72761 Phone: 479-549-3737 | |
Danielle Dawson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-750-4843 | |
Dwight A Hignite, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 |