Shelly Wolfe, LPC | |
800 N Walnut St, Warren, AR 71671-2009 | |
(870) 226-6754 | |
(870) 226-7925 |
Full Name | Shelly Wolfe |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 800 N Walnut St, Warren, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245605054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Mainline Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
Mailing Address | Practice Location Address |
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Shelly Wolfe, LPC Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414 | Shelly Wolfe, LPC 800 N Walnut St, Warren, AR 71671-2009 Ph: (870) 226-6754 |
Andrew Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 York St, Warren, AR 71671 Phone: 870-226-9970 | |
Stephanie M Harper, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1404 East Church Street, Warren, AR 71671 Phone: 870-226-5856 Fax: 870-226-6208 | |
Mike Knickerbocker, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 York St, Warren, AR 71671 Phone: 870-226-9970 Fax: 870-226-9972 | |
Mrs. Latasha Rochell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 York St, Warren, AR 71671 Phone: 870-226-9970 |