Lisa Cunningham, LPC | |
2005 Mclain St, Newport, AR 72112-3662 | |
(870) 495-1990 | |
(870) 495-1994 |
Full Name | Lisa Cunningham |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2005 Mclain St, Newport, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215059993 | NPI | - | NPPES |
227825719 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P0301001 (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. |
---|---|
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 |
---|---|
Lisa Cunningham, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Lisa Cunningham, LPC 2005 Mclain St, Newport, AR 72112-3662 Ph: (870) 495-1990 |
Mrs. Peggy Foster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-523-3643 | |
Allen Busby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Mclain St, Newport, AR 72112 Phone: 870-495-1990 | |
Mr. Troy Larry Vincent Sr., LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N. Pecan St., Newport, AR 72112 Phone: 870-523-3643 | |
Doris V Lillard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-523-3643 Fax: 870-523-8224 | |
Kelly Drye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Mclain St, Newport, AR 72112 Phone: 870-495-1990 Fax: 870-495-1994 | |
Jonathan David Brumfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-793-8900 Fax: 870-793-8900 |