Mr Robert Daniel Parke Jr, LPC | |
208 Highway 62 W, Berryville, AR 72616-8872 | |
(479) 750-2020 | |
(479) 750-4843 |
Full Name | Mr Robert Daniel Parke Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 208 Highway 62 W, Berryville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306147806 | NPI | - | NPPES |
184022795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A1011130 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P1607067 (Arkansas) | Primary |
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Daniel Parke Jr, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Mr Robert Daniel Parke Jr, LPC 208 Highway 62 W, Berryville, AR 72616-8872 Ph: (479) 750-2020 |
Gemma Siebert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1004 S Main St, Berryville, AR 72616 Phone: 870-423-1077 | |
Ginny Dawn Herman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 E Church Ave, Berryville, AR 72616 Phone: 870-480-2988 Fax: 866-402-6464 | |
Alyissa Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Highway 62 W, Berryville, AR 72616 Phone: 479-750-2020 Fax: 479-750-4843 | |
Robyn Thurman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Highway 62 W, Berryville, AR 72616 Phone: 870-423-2758 Fax: 870-423-3199 | |
Sara A Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 Highway 62 W, Berryville, AR 72616 Phone: 870-423-2758 Fax: 479-750-4843 | |
Brandy Hall, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Eureka Ave Ste Bb, Berryville, AR 72616 Phone: 870-929-6023 Fax: 870-280-3468 |