Mrs Charlotte Ann Featherston, LPC | |
275 Main St, Mammoth Spring, AR 72554-7484 | |
(870) 907-0848 | |
(417) 322-6099 |
Full Name | Mrs Charlotte Ann Featherston |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 275 Main St, Mammoth Spring, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679723225 | NPI | - | NPPES |
229121719 | Medicaid | AR | |
490115656 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | A0612081 (Arkansas) | Secondary |
101Y00000X | Counselor | P1206072 (Arkansas) | Primary |
Entity Name | Charlotte Featherston Counseling Agency, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447933569 PECOS PAC ID: 3274984943 Enrollment ID: O20240105004333 |
Mailing Address | Practice Location Address |
---|---|
Mrs Charlotte Ann Featherston, LPC Po Box 1142, Mammoth Spring, AR 72554-1142 Ph: (870) 907-0848 | Mrs Charlotte Ann Featherston, LPC 275 Main St, Mammoth Spring, AR 72554-7484 Ph: (870) 907-0848 |
Mary A Boler, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11191 Highway 9 N, Mammoth Spring, AR 72554 Phone: 870-895-3977 Fax: 870-895-3978 | |
Marcia Beth Haizlip, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Tate Ave, Mammoth Spring, AR 72554 Phone: 870-625-0273 Fax: 870-625-0275 | |
Frances M Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Tate Ave, Mammoth Spring, AR 72554 Phone: 870-625-0273 Fax: 870-625-0275 |