Mr Travis Wilkerson, LPC | |
70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | |
(870) 793-3199 | |
Not Available |
Full Name | Mr Travis Wilkerson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 70 Batesville Blvd Ste C, 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 |
---|---|---|---|
1689794828 | NPI | - | NPPES |
228377719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A0201006 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P0606035 (Arkansas) | Primary |
Entity Name | Life Strategies Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932154945 PECOS PAC ID: 5890887475 Enrollment ID: O20131112001495 |
Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678 |
Mailing Address | Practice Location Address |
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Mr Travis Wilkerson, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Mr Travis Wilkerson, LPC 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 Ph: (870) 793-3199 |
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 |