Jeffrey L Mitchell, | |
353 E 8th St, Mountain Home, AR 72653-4423 | |
(870) 701-5141 | |
(870) 701-5177 |
Full Name | Jeffrey L Mitchell |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 353 E 8th St, Mountain Home, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114307188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P1804059 (Arkansas) | Primary |
Entity Name | Hometown Behavioral Health Services Of Arkansas, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629226931 PECOS PAC ID: 4183779226 Enrollment ID: O20090826000169 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey L Mitchell, 315 W 6th St, Mountain Home, AR 72653-3509 Ph: (870) 425-8642 | Jeffrey L Mitchell, 353 E 8th St, Mountain Home, AR 72653-4423 Ph: (870) 701-5141 |
Zane Anthony Crawford, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 Highway 62 E, Ste 4, Mountain Home, AR 72653 Phone: 870-425-8642 Fax: 870-425-8652 | |
Colin Crawford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W 6th St, Mountain Home, AR 72653 Phone: 870-425-8642 | |
Matthew Sutton, LPC-S, LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 E 7th St Ste 6, Mountain Home, AR 72653 Phone: 870-476-3058 Fax: 870-455-6435 | |
Jennifer Coan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 County Road 458, Mountain Home, AR 72653 Phone: 870-425-5252 | |
Hayley Erin Lackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W 6th St, Mountain Home, AR 72653 Phone: 870-425-8642 | |
Ariel R Nations, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8 Medical Plz, Mountain Home, AR 72653 Phone: 870-232-4385 Fax: 479-750-4843 | |
Mrs. Eydie Nerissa Cantrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 County Road 458, Child And Youth Pediatric Day Clinic, Mountain Home, AR 72653 Phone: 870-425-5252 Fax: 870-425-5254 |