Ms Anitra Lynette Bradford, LAC | |
621 E North St, Magnolia, AR 71753-3120 | |
(870) 234-0739 | |
Not Available |
Full Name | Ms Anitra Lynette Bradford |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 621 E North St, Magnolia, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124218177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A0710078 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P1012084 (Arkansas) | Primary |
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20180122001018 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210811001714 |
Entity Name | Cornerstone Counseling Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851819544 PECOS PAC ID: 0547665382 Enrollment ID: O20210817003656 |
Entity Name | Cs Pacs 3 Southwest, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275398430 PECOS PAC ID: 1254879620 Enrollment ID: O20240828004216 |
Mailing Address | Practice Location Address |
---|---|
Ms Anitra Lynette Bradford, LAC 1600 Aldersgate Rd Ste 200, Little Rock, AR 72205-6676 Ph: (501) 661-0720 | Ms Anitra Lynette Bradford, LAC 621 E North St, Magnolia, AR 71753-3120 Ph: (870) 234-0739 |
Ms. Cassandra Castaneda, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Lelia St. Wing B, Office #4, Magnolia, AR 71753 Phone: 870-340-2636 | |
Ellana Stuart, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Ms. Alaina Atkinson-murphy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1705 E North St, Magnolia, AR 71753 Phone: 870-562-2935 Fax: 866-735-3194 | |
Johnny Knighten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Ricodaro Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Toni Marie Hagins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Cheryl Goodheart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Pecan Ave, Magnolia, AR 71753 Phone: 870-234-0739 |