Ms Bonnie Denise O'boyle, LPC | |
908 S Walton Blvd Ste 39, Bentonville, AR 72712-6287 | |
(479) 225-6027 | |
(844) 316-3842 |
Full Name | Ms Bonnie Denise O'boyle |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 908 S Walton Blvd Ste 39, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659938611 | NPI | - | NPPES |
235944795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A1905053 (Arkansas) | Primary |
Entity Name | Chenal Family Therapy Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717 |
Mailing Address | Practice Location Address |
---|---|
Ms Bonnie Denise O'boyle, LPC 908 S Walton Blvd Ste 39, Bentonville, AR 72712-6287 Ph: (479) 225-6027 | Ms Bonnie Denise O'boyle, LPC 908 S Walton Blvd Ste 39, Bentonville, AR 72712-6287 Ph: (479) 225-6027 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |