Matthew Sullivan, | |
1650 White Dr, Batesville, AR 72501-9384 | |
(870) 919-3381 | |
Not Available |
Full Name | Matthew Sullivan |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1650 White Dr, Batesville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629328463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P2205009 (Arkansas) | Primary |
Entity Name | Arisa Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
Mailing Address | Practice Location Address |
---|---|
Matthew Sullivan, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Matthew Sullivan, 1650 White Dr, Batesville, AR 72501-9384 Ph: (870) 919-3381 |
Whitney Stone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 E Main St # B, Batesville, AR 72501 Phone: 870-793-8919 Fax: 870-793-8968 | |
Kim Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Gap Rd, Batesville, AR 72501 Phone: 870-793-8900 | |
Amanda Brownderville, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 | |
Janeice Lynn Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Batesville Blvd Ste C, Batesville, AR 72501 Phone: 870-793-3199 Fax: 870-793-3151 | |
Kyle Clark Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Main St, Suite 310, Batesville, AR 72501 Phone: 870-569-4890 | |
Fredricka Tabor, QBHP Counselor Medicare: Medicare Enrolled Practice Location: 2230 Harrison St, Batesville, AR 72501 Phone: 870-698-2100 Fax: 870-698-0109 | |
Devin S Thomas Sr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Harrison St, Suite 107, Batesville, AR 72501 Phone: 870-793-6774 Fax: 870-793-1997 |