| Kathryn Malbica, | |
|
1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | |
| (479) 443-5575 | |
| (479) 443-9554 |
| Full Name | Kathryn Malbica |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1 W Sunbridge Dr, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619128642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13301-C (Arkansas) | Primary |
| Entity Name | Life Journey Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326874454 PECOS PAC ID: 9436687613 Enrollment ID: O20250115004082 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Malbica, 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 Ph: (479) 443-5575 | Kathryn Malbica, 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 Ph: (479) 443-5575 |
Courtney Elaine Goodrum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-443-5575 | |
Ernestine Dickson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 S East Ave, Fayetteville, AR 72701 Phone: 501-313-1033 | |
Heather Leann Zimmerman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1384 S Splash Dr, Fayetteville, AR 72701 Phone: 501-764-8757 | |
Nancy Lou Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 W. Sunbridge, Fayetteville, AR 72703 Phone: 479-725-5224 Fax: 479-750-8967 | |
Carla E Williams, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 905 W Eden Cir, Fayetteville, AR 72701 Phone: 479-409-6167 Fax: 479-587-8703 | |
Jordan Hughes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2354 N Montana Ave, Fayetteville, AR 72704 Phone: 501-690-3633 | |
Kerri Vollmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2592 N Gregg Ave, Suite 16, Fayetteville, AR 72703 Phone: 479-582-5565 |