| Delta Counseling Associates Inc | |
|
790 Roberts Dr Monticello AR 71655-5723 | |
| (870) 367-2461 | |
| (870) 460-6133 |
| Full Name | Delta Counseling Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 790 Roberts Dr, Monticello, Arkansas |
| Authorized Official Name and Position | Patrick W Haynie (CEO ELECT) |
| Authorized Official Contact | 8703672461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Counseling Associates Inc 790 Roberts Dr Monticello AR 71655-5723 Ph: (870) 367-9732 | Delta Counseling Associates Inc 790 Roberts Dr Monticello AR 71655-5723 Ph: (870) 367-2461 |
| NPI Number | 1053364612 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 02/20/2015 |
| Medicare PECOS PAC ID | 1850377508 |
|---|---|
| Medicare Enrollment ID | O20040624001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053364612 | NPI | - | NPPES |
| 116387726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shamim Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518909605 PECOS PAC ID: 8820901366 Enrollment ID: I20031110000769 |
| Provider Name | Althea T Conley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114995198 PECOS PAC ID: 7517851413 Enrollment ID: I20040819000963 |
| Provider Name | Andre Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124048871 PECOS PAC ID: 6709882160 Enrollment ID: I20081126000562 |
| Provider Name | Dana A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023026606 PECOS PAC ID: 1153488374 Enrollment ID: I20090316000113 |
| Provider Name | Terrell P Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326034547 PECOS PAC ID: 7315095072 Enrollment ID: I20090507000092 |
| Provider Name | Jeremy R Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134212947 PECOS PAC ID: 8820143951 Enrollment ID: I20090826000053 |
| Provider Name | Gerald S Stein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336324011 PECOS PAC ID: 2961531496 Enrollment ID: I20100521000520 |
| Provider Name | Charles L Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376540765 PECOS PAC ID: 2062607583 Enrollment ID: I20101110000726 |
| Provider Name | Kenneth G Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942411483 PECOS PAC ID: 1850570177 Enrollment ID: I20130313000021 |
| Provider Name | Cynthia Polk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720391188 PECOS PAC ID: 2961724299 Enrollment ID: I20141124000336 |
| Provider Name | Kelsey Leigh Mann Mcclellan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457679011 PECOS PAC ID: 4789902529 Enrollment ID: I20150408000269 |
| Provider Name | Jeannie R Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891942975 PECOS PAC ID: 4688978737 Enrollment ID: I20160210000521 |
| Provider Name | Lesa D Kilpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518271477 PECOS PAC ID: 1254638885 Enrollment ID: I20160328000908 |
| Provider Name | April B Glasscock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174071583 PECOS PAC ID: 7517246192 Enrollment ID: I20161123000568 |
| Provider Name | Kayley A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861873929 PECOS PAC ID: 7113285685 Enrollment ID: I20171212000279 |
| Provider Name | John E Bolding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902284979 PECOS PAC ID: 3577826429 Enrollment ID: I20180406001200 |
| Provider Name | Annie M Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932336054 PECOS PAC ID: 7416207709 Enrollment ID: I20180907000335 |
| Provider Name | Scott Allison Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003394602 PECOS PAC ID: 9234546201 Enrollment ID: I20210319000016 |
| Provider Name | Stephanie M Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679080444 PECOS PAC ID: 8628472677 Enrollment ID: I20231129000708 |
| Provider Name | Tratesha Antronell Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699151928 PECOS PAC ID: 1254780794 Enrollment ID: I20231222001536 |
| Provider Name | Kelli Jean Fairris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326220856 PECOS PAC ID: 0042661670 Enrollment ID: I20240109000673 |
Dayspring Behavioral Health Of Monticello Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 583 West Gaines, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
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Mainline Uam Behavioral Health Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 University Dr, Suite 201, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 | |
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