| Holly Colclasure, LCSW | |
|
305 S Palm St, Little Rock, AR 72205-5432 | |
| (501) 251-6479 | |
| Not Available |
| Full Name | Holly Colclasure |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 305 S Palm St, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528601135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3569-C (Arkansas) | Primary |
| Entity Name | Chenal Family Therapy Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356604219 PECOS PAC ID: 8325395627 Enrollment ID: O20180718000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Colclasure, LCSW 1605 Circledale Rd, North Little Rock, AR 72116-6374 Ph: (501) 680-5660 | Holly Colclasure, LCSW 305 S Palm St, Little Rock, AR 72205-5432 Ph: (501) 251-6479 |
Ann Richardson Wrotny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10800 Financial Centre Pkwy, Suite 490, Little Rock, AR 72211 Phone: 501-228-0288 Fax: 501-228-8189 | |
Ms. Sabrina Louesa Blevins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 S Shackleford Rd Ste 300, Little Rock, AR 72211 Phone: 501-765-3266 Fax: 501-716-2530 | |
Michael D Lowery, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4224 Shuffield Dr, Little Rock, AR 72205 Phone: 501-526-8200 Fax: 501-526-5296 | |
Diana Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Childrens Way # 401, Little Rock, AR 72202 Phone: 501-364-3813 | |
Hilary Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Crystal Ct, Little Rock, AR 72205 Phone: 704-965-0728 | |
Mrs. Elizabeth Pullam New, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Kavanaugh Blvd, Little Rock, AR 72205 Phone: 501-247-5416 | |
Kiya Latrice Horace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Rahling Rd Apt 4219, Little Rock, AR 72223 Phone: 501-247-2804 |