|
| |
|
115 E 5th St Mountain Home AR 72653-3811 | |
| (928) 607-5531 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 115 E 5th St, Mountain Home, Arkansas |
| Authorized Official Name and Position | Holly Skinner (CREDENTIALING) |
| Authorized Official Contact | 5014541664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1483 Webber Rd Mountain Home AR 72653-6938 Ph: () - | 115 E 5th St Mountain Home AR 72653-3811 Ph: (928) 607-5531 |
| NPI Number | 1992578363 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 6305385733 |
|---|---|
| Medicare Enrollment ID | O20240828004937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992578363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gemma Hollmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740868447 PECOS PAC ID: 0749729176 Enrollment ID: I20240828005037 |
Sandra Reese Incorporated Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 S Baker St, Mountain Home, AR 72653 Phone: 870-321-2544 | |
Ozark Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Plz, Mountain Home, AR 72654 Phone: 870-425-6901 Fax: 870-424-8703 | |
Health Resources Of Arkansas, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Plz, Mountain Home, AR 72653 Phone: 870-425-6901 Fax: 870-425-0263 | |
Grace Abounds Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Commerce Dr Ste 3, Mountain Home, AR 72653 Phone: 870-232-4181 | |
Aubrey Wilson Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E 7th St Ste 3, Mountain Home, AR 72653 Phone: 740-288-5317 | |
Devon Davasher, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 701 South Street, Suite 100, Mountain Home, AR 72653 Phone: 501-291-0420 Fax: 866-728-9492 |