Reginald Chandler, LPC | |
809 W Main St Ste C-d, Trumann, AR 72472-2611 | |
(870) 483-0068 | |
(870) 483-0066 |
Full Name | Reginald Chandler |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 809 W Main St Ste C-d, Trumann, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043632268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
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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 |
---|---|
Reginald Chandler, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Reginald Chandler, LPC 809 W Main St Ste C-d, Trumann, AR 72472-2611 Ph: (870) 483-0068 |
Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 | |
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 |