Glynn Nooner, LPC | |
109 Frankie Ln, White Hall, AR 71602 | |
(870) 247-3588 | |
(870) 247-2072 |
Full Name | Glynn Nooner |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 109 Frankie Ln, White Hall, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124575295 | NPI | - | NPPES |
215556795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1801005 (Arkansas) | Primary |
Entity Name | Pain Treatment Centers Of America Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
Mailing Address | Practice Location Address |
---|---|
Glynn Nooner, LPC 109 Frankie Ln, White Hall, AR 71602-2685 Ph: (870) 247-3588 | Glynn Nooner, LPC 109 Frankie Ln, White Hall, AR 71602 Ph: (870) 247-3588 |
Deeann English, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Frankie Ln, White Hall, AR 71602 Phone: 870-247-3588 Fax: 870-247-2072 | |
Daniel George, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Frankie Ln, White Hall, AR 71602 Phone: 870-247-3588 Fax: 870-247-2072 | |
Draper A Buchanan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Frankie Ln, White Hall, AR 71602 Phone: 870-247-3588 Fax: 870-247-2072 | |
Mrs. Veronica Lynn Nelson, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Frankie Ln, White Hall, AR 71602 Phone: 870-247-2008 | |
Lalicia Stewart-mcfarland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Frankie Ln, White Hall, AR 71602 Phone: 870-247-3588 Fax: 870-247-2072 | |
Mr. Chancey Dale, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Frankie Ln, White Hall, AR 71602 Phone: 870-247-3588 Fax: 870-247-2072 |