Scarlett Evert, | |
575 Harkrider St, Conway, AR 72032-5631 | |
(501) 781-2230 | |
Not Available |
Full Name | Scarlett Evert |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 575 Harkrider St, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700023876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P1210098 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P1210098 (Arkansas) | Primary |
Entity Name | Chenal Family Therapy Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717 |
Mailing Address | Practice Location Address |
---|---|
Scarlett Evert, 10800 Financial Centre Pkwy Ste 290, Little Rock, AR 72211-3581 Ph: (479) 461-1194 | Scarlett Evert, 575 Harkrider St, Conway, AR 72032-5631 Ph: (501) 781-2230 |
Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344 | |
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290 | |
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905 | |
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Mr. Collin Thomas Davies, M.A., LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Prince St Ste 53, Conway, AR 72034 Phone: 501-764-3002 Fax: 866-514-7628 | |
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941 |