| Madeline Noel Fults, CIT | |
|
2304 W 29th Ave, Suite 1, Pine Bluff, AR 71603-5005 | |
| (870) 247-5222 | |
| (870) 671-4847 |
| Full Name | Madeline Noel Fults |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2304 W 29th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962896217 | NPI | - | NPPES |
| 206621740 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Noel Fults, CIT Po Box 21203, White Hall, AR 71612-1203 Ph: (870) 247-5222 | Madeline Noel Fults, CIT 2304 W 29th Ave, Suite 1, Pine Bluff, AR 71603-5005 Ph: (870) 247-5222 |
Willie White Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Kyle Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Nicholas Woodfork, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Kwaeisi Golliday, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Sarah Smith, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Mrs. Kristin Mccool, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Ms. Tracy Brashears, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 |