| Hope & Healing Of Nea Pllc | |
|
2701 S Caraway Rd Ste B1 Jonesboro AR 72401-7336 | |
| (870) 926-5710 | |
| Not Available |
| Full Name | Hope & Healing Of Nea Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 S Caraway Rd Ste B1, Jonesboro, Arkansas |
| Authorized Official Name and Position | Larry Lucas Lewallen (OWNER) |
| Authorized Official Contact | 8709265710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope & Healing Of Nea Pllc 680 County Road 793 Brookland AR 72417-8778 Ph: (870) 926-5710 | Hope & Healing Of Nea Pllc 2701 S Caraway Rd Ste B1 Jonesboro AR 72401-7336 Ph: (870) 926-5710 |
| NPI Number | 1881299675 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7012302300 |
|---|---|
| Medicare Enrollment ID | O20220323002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881299675 | NPI | - | NPPES |
| Provider Name | Larry L Lewallen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437342268 PECOS PAC ID: 0042430175 Enrollment ID: I20141013000868 |
| Provider Name | Stephanie A Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467578088 PECOS PAC ID: 3678895216 Enrollment ID: I20141209002312 |
| Provider Name | Ashley N Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679834642 PECOS PAC ID: 4587907027 Enrollment ID: I20190523002424 |
| Provider Name | Amy N Freligh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487895900 PECOS PAC ID: 8022340678 Enrollment ID: I20191031000104 |
| Provider Name | Anthoney Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275821456 PECOS PAC ID: 4587061452 Enrollment ID: I20210920001206 |
| Provider Name | Jo Anne E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801151436 PECOS PAC ID: 8820345531 Enrollment ID: I20220406000705 |
| Provider Name | Casie Lee Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578326658 PECOS PAC ID: 7911343611 Enrollment ID: I20240315001022 |
| Provider Name | Justin Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366865685 PECOS PAC ID: 6507213824 Enrollment ID: I20240319000503 |
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