Tracy Ann Pefferkorn, LPC | |
403 Filmore St., Fordyce, AR 71742 | |
(870) 313-1579 | |
(870) 352-5127 |
Full Name | Tracy Ann Pefferkorn |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 403 Filmore St., Fordyce, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619007226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P1001005 (Arkansas) | Primary |
Entity Name | Reding & Leach Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
Mailing Address | Practice Location Address |
---|---|
Tracy Ann Pefferkorn, LPC 403 Filmore St., Fordyce, AR 71742 Ph: (870) 313-1579 | Tracy Ann Pefferkorn, LPC 403 Filmore St., Fordyce, AR 71742 Ph: (870) 313-1579 |
Judy Prince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Brandy Tydingco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Lesley Self Ford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6311 Fax: 870-352-0223 | |
Frankie Hickman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Jeanna Pennington, LPC Counselor Medicare: Medicare Enrolled Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Mrs. Roselle Roberson, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 3rd St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 |