Marious Tolbert, LPC | |
2500 Rike Dr, Pine Bluff, AR 71603-3937 | |
(870) 534-1834 | |
(870) 534-5798 |
Full Name | Marious Tolbert |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2500 Rike Dr, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083256820 | NPI | - | NPPES |
286158719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A1910138 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P2206023 (Arkansas) | Primary |
Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
Mailing Address | Practice Location Address |
---|---|
Marious Tolbert, LPC 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 | Marious Tolbert, LPC 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 |
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 |