Cynthia Dawn Hampton, LPC | |
807 W Main St, Trumann, AR 72472-2611 | |
(870) 972-4939 | |
(870) 972-4911 |
Full Name | Cynthia Dawn Hampton |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 807 W Main St, Trumann, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427206374 | NPI | - | NPPES |
172699795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1006045 (Arkansas) | Primary |
101Y00000X | Counselor | A0702019 (Arkansas) | Secondary |
Entity Name | Arisa Health Inc |
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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 |
---|---|
Cynthia Dawn Hampton, LPC 2707 Browns Ln, Jonesboro, AR 72401-7213 Ph: (870) 972-4939 | Cynthia Dawn Hampton, LPC 807 W Main St, Trumann, AR 72472-2611 Ph: (870) 972-4939 |
Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Reginald Chandler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 | |
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 |