Robyn Kelly, THERAPIST | |
1825 E Broadway St, Forrest City, AR 72335-3409 | |
(870) 630-2328 | |
(870) 630-2348 |
Full Name | Robyn Kelly |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1825 E Broadway St, Forrest City, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225280142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
Mailing Address | Practice Location Address |
---|---|
Robyn Kelly, THERAPIST 210 Manor St, Marion, AR 72364-1936 Ph: (870) 739-6818 | Robyn Kelly, THERAPIST 1825 E Broadway St, Forrest City, AR 72335-3409 Ph: (870) 630-2328 |
Donnie Jackson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348 | |
Jordan Wilkison, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 N Washington St, Forrest City, AR 72335 Phone: 870-633-8092 Fax: 870-633-8358 | |
Mary Linn, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348 | |
Dawn Herring, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348 | |
Sheila J. Lowery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 | |
Marsha Goff, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 E Broadway St, Forrest City, AR 72335 Phone: 870-630-2328 Fax: 870-630-2348 | |
Charmane Alvares, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Lindauer Rd, Forrest City, AR 72335 Phone: 870-494-4600 |