Katie Holland, | |
1310 Bradley Dr, Mountain Home, AR 72653-2730 | |
(870) 424-4021 | |
(870) 424-4112 |
Full Name | Katie Holland |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1310 Bradley Dr, 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 |
---|---|---|---|
1710149604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
Mailing Address | Practice Location Address |
---|---|
Katie Holland, Po Box 2533, Mountain Home, AR 72654-2533 Ph: (870) 424-4021 | Katie Holland, 1310 Bradley Dr, Mountain Home, AR 72653-2730 Ph: (870) 424-4021 |
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 |