Simple Soul Counseling Services Llc | |
303 W Newman Ave Harrison AR 72601-5839 | |
(870) 204-5640 | |
(870) 204-5306 |
Full Name | Simple Soul Counseling Services Llc |
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Speciality | Clinic/Center |
Location | 303 W Newman Ave, Harrison, Arkansas |
Authorized Official Name and Position | Acacia Lynette Johnson (THERAPIST/OWNER) |
Authorized Official Contact | 8702045640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simple Soul Counseling Services Llc 303 W Newman Ave Harrison AR 72601-5839 Ph: (870) 204-5640 | Simple Soul Counseling Services Llc 303 W Newman Ave Harrison AR 72601-5839 Ph: (870) 204-5640 |
NPI Number | 1164144812 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/22/2022 |
Certification Date | 09/22/2022 |
Medicare PECOS PAC ID | 6305205329 |
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Medicare Enrollment ID | O20231028000160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164144812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Paula A Stapleton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720029523 PECOS PAC ID: 3870800147 Enrollment ID: I20150918001012 |
Provider Name | Robert Conner Yerton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831746429 PECOS PAC ID: 5698169902 Enrollment ID: I20220303000058 |
Provider Name | Sky Tapp |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366797474 PECOS PAC ID: 9638525595 Enrollment ID: I20231101000673 |
Provider Name | Jamie Lee Gordon |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649383886 PECOS PAC ID: 1658721964 Enrollment ID: I20231228003932 |
Provider Name | Holly Duck |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528310752 PECOS PAC ID: 6002269883 Enrollment ID: I20240129000810 |
Provider Name | Acacia Johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912149618 PECOS PAC ID: 8022477041 Enrollment ID: I20240129002042 |
Provider Name | Steven Schlinker |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1497367346 PECOS PAC ID: 3072956572 Enrollment ID: I20240212004116 |
Provider Name | Teresa Collett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1437362803 PECOS PAC ID: 1850734260 Enrollment ID: I20240213000544 |
Provider Name | Elizabeth A Wolfe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588237697 PECOS PAC ID: 0042652588 Enrollment ID: I20240529002185 |
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Health Resources Of Arkansas, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 N Spring St, Harrison, AR 72601 Phone: 870-741-8216 Fax: 870-741-4784 | |
North Arkansas Counseling Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Prospect Ave, Harrison, AR 72601 Phone: 870-743-6314 Fax: 870-743-1883 | |
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