Derrick Singleton, LPC | |
514 Chickasawba St, Blytheville, AR 72315-2722 | |
(870) 824-2268 | |
Not Available |
Full Name | Derrick Singleton |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 514 Chickasawba St, Blytheville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568639094 | NPI | - | NPPES |
227574719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | P1006043 (Arkansas) | Primary |
Entity Name | Life Strategies Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495 |
Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678 |
Mailing Address | Practice Location Address |
---|---|
Derrick Singleton, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Derrick Singleton, LPC 514 Chickasawba St, Blytheville, AR 72315-2722 Ph: (870) 824-2268 |
Robin Love Terry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Chickasawba, Blytheville, AR 72315 Phone: 870-824-2268 Fax: 870-622-0782 | |
Brandi Brown-benson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Chickasawba St, Blytheville, AR 72315 Phone: 870-824-2268 Fax: 870-824-2269 | |
Kimberly Diane Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 | |
Linda Razor, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 634 W Main St, Blytheville, AR 72315 Phone: 870-780-6986 Fax: 870-780-6987 | |
Mr. Robbie Robinson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 | |
Syreeta Delphene Dawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 |