| Mrs Edith Renee Sherman, LCSW | |
|
134 County Road 665, Wynne, AR 72396-8402 | |
| (870) 238-5681 | |
| Not Available |
| Full Name | Mrs Edith Renee Sherman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 134 County Road 665, Wynne, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629249131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2112-M (Arkansas) | Primary |
| Entity Name | Changes Behavioral Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 | Mrs Edith Renee Sherman, LCSW 134 County Road 665, Wynne, AR 72396-8402 Ph: (870) 238-5681 |
Rylee Ratton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-587-0576 | |
Brian D. Shaw, CM Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 | |
Valisya Coleman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 | |
William Blake Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499 Fax: 870-208-8044 |