Wade Fuqua, | |
9914 I-30, Little Rock, AR 72209-4201 | |
(501) 565-8501 | |
Not Available |
Full Name | Wade Fuqua |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 9914 I-30, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649532656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | 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 |
---|---|
Wade Fuqua, 602 N Walton Blvd, Bentonville, AR 72712-4576 Ph: (479) 464-1060 | Wade Fuqua, 9914 I-30, Little Rock, AR 72209-4201 Ph: (501) 565-8501 |
Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199 | |
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500 | |
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116 | |
Chris Beasley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9819 Margie Cir, Little Rock, AR 72209 Phone: 501-319-2521 | |
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469 | |
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500 | |
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011 |