| Roadmaps Counseling And Mediation, Inc. | |
|
911 S Baker St Mountain Home AR 72653-4711 | |
| (870) 424-0570 | |
| (844) 272-9266 |
| Full Name | Roadmaps Counseling And Mediation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 S Baker St, Mountain Home, Arkansas |
| Authorized Official Name and Position | Tracy Renee Matlock (OWNER) |
| Authorized Official Contact | 8704240570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roadmaps Counseling And Mediation, Inc. Po Box 2261 Mountain Home AR 72654-2261 Ph: (870) 424-0570 | Roadmaps Counseling And Mediation, Inc. 911 S Baker St Mountain Home AR 72653-4711 Ph: (870) 424-0570 |
| NPI Number | 1427540210 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Medicare PECOS PAC ID | 1355683178 |
|---|---|
| Medicare Enrollment ID | O20190426002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427540210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tracy L Vonallmen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093904716 PECOS PAC ID: 4981877644 Enrollment ID: I20111026000184 |
| Provider Name | Ashton Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336660935 PECOS PAC ID: 7416379003 Enrollment ID: I20200629001181 |
| Provider Name | Tracy Renee Matlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174641278 PECOS PAC ID: 3173865995 Enrollment ID: I20240521001372 |
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