Mystique Leigh Imler, LPC | |
603 W Fleeman Ste 4, Manila, AR 72442-9171 | |
(870) 570-0358 | |
(870) 570-0359 |
Full Name | Mystique Leigh Imler |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 603 W Fleeman Ste 4, Manila, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467840538 | NPI | - | NPPES |
5CB23 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1611172 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mystique Leigh Imler, LPC 603 W Fleeman Ste 4, Manila, AR 72442-9171 Ph: (705) 700-3588 | Mystique Leigh Imler, LPC 603 W Fleeman Ste 4, Manila, AR 72442-9171 Ph: (870) 570-0358 |
Julia Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 W. Fleeman St. Suite 4, Manila, AR 72442 Phone: 870-570-0358 Fax: 870-570-0359 | |
Kelley Anne Lammers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Medical Dr, Manila, AR 72442 Phone: 870-570-0358 Fax: 870-570-0359 | |
Angela Gipson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Medical Dr, Manila, AR 72442 Phone: 870-570-0358 Fax: 870-570-0359 | |
Tonya Grissom-tatroe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 W Fleeman, Manila, AR 72442 Phone: 870-919-6585 |