Leigh Alexandria Maxwell, | |
110 Skyline Dr, Russellville, AR 72801-3362 | |
(479) 968-1298 | |
(497) 968-6053 |
Full Name | Leigh Alexandria Maxwell |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 110 Skyline Dr, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467776815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | P1611175 (Arkansas) | Primary |
Entity Name | Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417 |
Mailing Address | Practice Location Address |
---|---|
Leigh Alexandria Maxwell, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 725-5115 | Leigh Alexandria Maxwell, 110 Skyline Dr, Russellville, AR 72801-3362 Ph: (479) 968-1298 |
Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Raven Cruz-humberto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 E Parkway Dr, Russellville, AR 72801 Phone: 866-921-0149 Fax: 479-777-4400 | |
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Mary Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Front Dr, Russellville, AR 72802 Phone: 479-567-4744 | |
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011 | |
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 | |
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 |