| Spencer Branch, | |
|
2500 Rike Dr, Pine Bluff, AR 71603-3937 | |
| (870) 534-1834 | |
| (870) 534-5798 |
| Full Name | Spencer Branch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2500 Rike Dr, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326450925 | NPI | - | NPPES |
| 116378726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Branch, 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 | Spencer Branch, 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 |
Willie White Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Kyle Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Nicholas Woodfork, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Kwaeisi Golliday, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Sarah Smith, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Mrs. Kristin Mccool, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Ms. Tracy Brashears, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 |