| Thriveworks Telepsychiatry - Arkansas | |
|
300 N College Ave Ste 305 Fayetteville AR 72701-4381 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Telepsychiatry - Arkansas |
|---|---|
| Speciality | Counselor |
| Location | 300 N College Ave Ste 305, Fayetteville, Arkansas |
| Authorized Official Name and Position | Anthony Centore (CEO) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Telepsychiatry - Arkansas 1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 Ph: (540) 217-6461 | Thriveworks Telepsychiatry - Arkansas 300 N College Ave Ste 305 Fayetteville AR 72701-4381 Ph: (855) 284-7483 |
| NPI Number | 1669130928 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 3577950310 |
|---|---|
| Medicare Enrollment ID | O20220427000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669130928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Fiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003455833 PECOS PAC ID: 6608207717 Enrollment ID: I20200505001845 |
| Provider Name | Martha Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717115 PECOS PAC ID: 5294150991 Enrollment ID: I20200728003673 |
Healing Spirit Therapies, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N East Ave, #201, Fayetteville, AR 72701 Phone: 479-200-8472 Fax: 479-442-2881 | |
Still Waters Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3313 W Mount Comfort Rd, Fayetteville, AR 72704 Phone: 479-263-7602 Fax: 479-443-2892 | |
Marie W. Wood Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N East Ave, Fayetteville, AR 72701 Phone: 479-521-9696 | |
Spectrum Living Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3677 W Weir Rd, Fayetteville, AR 72704 Phone: 479-871-2481 | |
Rita Cruz-collins Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 N College Ave, Fayetteville, AR 72703 Phone: 479-305-2907 | |
Stone Path Counseling, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Poplar St Ste C, Fayetteville, AR 72703 Phone: 479-435-6047 Fax: 479-755-3595 | |
Wellness Solutions Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N East Ave, Suite 101, Fayetteville, AR 72701 Phone: 479-435-6679 |