Fredricka Tabor, QBHP | |
2230 Harrison St, Batesville, AR 72501-7417 | |
(870) 698-2100 | |
(870) 698-0109 |
Full Name | Fredricka Tabor |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2230 Harrison St, Batesville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114540051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P2311004 (Arkansas) | Primary |
Entity Name | White River Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710952650 PECOS PAC ID: 0143134270 Enrollment ID: O20031206000064 |
Mailing Address | Practice Location Address |
---|---|
Fredricka Tabor, QBHP 2230 Harrison St, Batesville, AR 72501-7417 Ph: (870) 698-2100 | Fredricka Tabor, QBHP 2230 Harrison St, Batesville, AR 72501-7417 Ph: (870) 698-2100 |
Whitney Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 E Main St # B, Batesville, AR 72501 Phone: 870-793-8919 Fax: 870-793-8968 | |
Kim Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Gap Rd, Batesville, AR 72501 Phone: 870-793-8900 | |
Amanda Brownderville, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 | |
Janeice Lynn Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 | |
Kyle Clark Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Main St, Suite 310, Batesville, AR 72501 Phone: 870-569-4890 | |
Devin S Thomas Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Harrison St, Suite 107, Batesville, AR 72501 Phone: 870-793-6774 Fax: 870-793-1997 |