Ralph Irwin Wray, LPC | |
107 Laurel St, Newport, AR 72112 | |
(870) 972-4939 | |
(870) 972-4911 |
Full Name | Ralph Irwin Wray |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 107 Laurel 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 |
---|---|---|---|
1750514840 | NPI | - | NPPES |
178464795 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | P1704280 (Arkansas) | Secondary |
Entity Name | Arisa Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
Mailing Address | Practice Location Address |
---|---|
Ralph Irwin Wray, LPC 2707 Browns Ln, Jonesboro, AR 72401-7213 Ph: (870) 972-4939 | Ralph Irwin Wray, LPC 107 Laurel St, Newport, AR 72112 Ph: (870) 972-4939 |
Mrs. Peggy Foster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-523-3643 | |
Lisa Cunningham, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2005 Mclain St, Newport, AR 72112 Phone: 870-495-1990 Fax: 870-495-1994 | |
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 |