| Mrs Carrie Ella Cannon, MA | |
|
1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | |
| (501) 332-5236 | |
| Not Available |
| Full Name | Mrs Carrie Ella Cannon |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 1615 Martin Luther King Blvd, Malvern, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154579977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3455-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ouachita Regional Counseling And Mental Health Center, Inc. | 7416853445 | 27 |
| Entity Name | Ouachita Regional Counseling & Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821087123 PECOS PAC ID: 7416853445 Enrollment ID: O20031210000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carrie Ella Cannon, MA 571 Saginaw Eddy Rd, Donaldson, AR 71941-8060 Ph: (501) 515-8656 | Mrs Carrie Ella Cannon, MA 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 Ph: (501) 332-5236 |
Alyssa Dubois, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1615 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-5236 | |
Birkes Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403 | |
Coy Price, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1628 E Page Ave, Malvern, AR 72104 Phone: 501-332-4437 | |
Ms. Flecia Greta Bryant, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 829 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403 | |
Angela D Moses, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 302 S Main St, Malvern, AR 72104 Phone: 501-463-1327 Fax: 501-242-4016 | |
Penny Stokes, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 |