Lashonda Lafayette, | |
11 Broadmoor Dr, Texarkana, AR 71854-4002 | |
(870) 703-9546 | |
Not Available |
Full Name | Lashonda Lafayette |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 11 Broadmoor Dr, Texarkana, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477841450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | P1311109 (Arkansas) | Primary |
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20180122001018 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210811001714 |
Entity Name | Brightside Medical Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
Mailing Address | Practice Location Address |
---|---|
Lashonda Lafayette, 11 Broadmoor Dr, Texarkana, AR 71854-4002 Ph: (870) 703-9546 | Lashonda Lafayette, 11 Broadmoor Dr, Texarkana, AR 71854-4002 Ph: (870) 703-9546 |
Terry Jerome Williams, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650 | |
Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315 | |
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 | |
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315 | |
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056 | |
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705 | |
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705 |