Mr Coleman Edward Matthews, LPC | |
1371 Highway 278 W, Monticello, AR 71655-9663 | |
(870) 367-2143 | |
(870) 367-2145 |
Full Name | Mr Coleman Edward Matthews |
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Gender | Male |
Speciality | Counselor |
Location | 1371 Highway 278 W, Monticello, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366690513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P0805038 (Arkansas) | Primary |
Entity Name | South Arkansas Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467423384 PECOS PAC ID: 0941199988 Enrollment ID: O20040315001172 |
Mailing Address | Practice Location Address |
---|---|
Mr Coleman Edward Matthews, LPC 5537 Bleaux Ave, Springdale, AR 72762-0737 Ph: (479) 872-5580 | Mr Coleman Edward Matthews, LPC 1371 Highway 278 W, Monticello, AR 71655-9663 Ph: (870) 367-2143 |
Mr. David B Jordan, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Jasmine N Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 |