| Laura Needham-puckett, LPC, LPE (NON-INDEPE | |
|
1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 | |
| (870) 933-6886 | |
| (870) 933-9395 |
| Full Name | Laura Needham-puckett |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1815 Pleasant Grove Road, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174645626 | NPI | - | NPPES |
| 5R806 | Other | AR | BCBS |
| 178956795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0305019 (Arkansas) | Primary |
| 103T00000X | Psychologist | 11-14E (Arkansas) | Secondary |
| Entity Name | Carriage Hill Family Care, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669130464 PECOS PAC ID: 9133511447 Enrollment ID: O20220119000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Needham-puckett, LPC, LPE (NON-INDEPE 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 | Laura Needham-puckett, LPC, LPE (NON-INDEPE 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 |
Trebor Wellington Bosley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1815 Pleasant Grove Rd, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Shelena White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4080 Fax: 870-972-4905 | |
Kiara Danyel Griffin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72405 Phone: 870-933-6886 Fax: 870-933-9395 | |
Bethany Batchelor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2200 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-972-1268 Fax: 870-934-0847 | |
Mrs. Heather Renee Parker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Mr. Jeremy Russell Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Pleasant Grove Road, Jonesboro, AR 72401 Phone: 870-933-6886 Fax: 870-933-9395 | |
Mrs. Jamie F. Fain, CADC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3308 Redwood Cv, Jonesboro, AR 72404 Phone: 870-219-3606 |