Jenni Earp, | |
2301 S 56th St Ste 104, Fort Smith, AR 72903-3710 | |
(479) 280-9980 | |
(501) 653-2257 |
Full Name | Jenni Earp |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2301 S 56th St Ste 104, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952552200 | NPI | - | NPPES |
228057719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A0810066 (Arkansas) | Primary |
Entity Name | Friendship Community Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528144318 PECOS PAC ID: 9335463496 Enrollment ID: O20150120000780 |
Mailing Address | Practice Location Address |
---|---|
Jenni Earp, Po Drawer 2109, Russellville, AR 72811 Ph: (479) 967-2322 | Jenni Earp, 2301 S 56th St Ste 104, Fort Smith, AR 72903-3710 Ph: (479) 280-9980 |
Kylia Eastman, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3811 Rogers Ave, Fort Smith, AR 72903 Phone: 479-395-1599 | |
Ms. Dinora Morales Reyes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Tochie K Benard, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Julie Rae Moore, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-452-5040 Fax: 479-452-5047 | |
Tabitha Fondren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Armour Ave, Fort Smith, AR 72904 Phone: 479-783-8849 Fax: 479-783-1914 | |
Miss Kylie Nicole Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 Phone: 479-242-4560 Fax: 479-242-4561 | |
Kasey Wilson, ADC, BA, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3113 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 |