Jonathan G Seubold, LAC | |
815 Fort St, Ste A, Barling, AR 72923-2164 | |
(479) 494-5700 | |
(479) 484-8142 |
Full Name | Jonathan G Seubold |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 815 Fort St, Barling, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073887238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Center For Psychiatric Wellness, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457733099 PECOS PAC ID: 8527373232 Enrollment ID: O20150810002166 |
Mailing Address | Practice Location Address |
---|---|
Jonathan G Seubold, LAC 3352 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 521-1427 | Jonathan G Seubold, LAC 815 Fort St, Ste A, Barling, AR 72923-2164 Ph: (479) 494-5700 |
Kayla Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 Fax: 479-452-5040 | |
Otilia Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Linda Howard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort St, Barling, AR 72923 Phone: 479-452-5040 | |
Peter Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Joe Pelt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Mrs. Robin Michelle Williford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 815 Fort St, Suite A, Barling, AR 72923 Phone: 479-494-5700 |