Colleen Williamson, LCPC | |
300 Sw Bordeaux Ct, Bentonville, AR 72712-7616 | |
(815) 297-3280 | |
Not Available |
Full Name | Colleen Williamson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 300 Sw Bordeaux Ct, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255578019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P2204013 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | 180006894 (Illinois) | Primary |
Entity Name | Freeport Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619116886 PECOS PAC ID: 7517319304 Enrollment ID: O20240117002412 |
Mailing Address | Practice Location Address |
---|---|
Colleen Williamson, LCPC 300 Sw Bordeaux Ct, Bentonville, AR 72712-7616 Ph: (815) 297-3280 | Colleen Williamson, LCPC 300 Sw Bordeaux Ct, Bentonville, AR 72712-7616 Ph: (815) 297-3280 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |