Mr Thomas C Long, MS, LPC | |
827 Harrell St, Alma, AR 72921 | |
(479) 387-4218 | |
Not Available |
Full Name | Mr Thomas C Long |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 827 Harrell St, Alma, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992968838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P0911071 (Arkansas) | Primary |
Entity Name | Center For Psychiatric Wellness, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457733099 PECOS PAC ID: 8527373232 Enrollment ID: O20150810002166 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas C Long, MS, LPC 827 Harrell St, Alma, AR 72921-8333 Ph: (479) 387-4218 | Mr Thomas C Long, MS, LPC 827 Harrell St, Alma, AR 72921 Ph: (479) 387-4218 |
Mrs. Roxann Leigh Reed, MS, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1209 Highway 71 N, Alma, AR 72921 Phone: 479-632-1022 | |
Beverly Ann Vanover, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 Harmony Rd Apt 14, Alma, AR 72921 Phone: 417-737-9908 | |
Mr. Derrick Adam Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 London St Apt B, Alma, AR 72921 Phone: 479-650-0185 | |
Greg Dupriest, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1239 Alma North St, Alma, AR 72921 Phone: 479-462-3440 | |
Lindsey Ann Fultz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1209 Highway 71 N, Alma, AR 72921 Phone: 479-632-1022 Fax: 479-632-1024 |