Ms Pamela Ann Goucher, LCSW | |
5 Clyde Ln, Bella Vista, AR 72715-4312 | |
(901) 604-1057 | |
Not Available |
Full Name | Ms Pamela Ann Goucher |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5 Clyde Ln, Bella Vista, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124042833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1115 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 1528-C (Arkansas) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210330001195 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela Ann Goucher, LCSW 5 Clyde Ln, Bella Vista, AR 72715-4312 Ph: (901) 604-1057 | Ms Pamela Ann Goucher, LCSW 5 Clyde Ln, Bella Vista, AR 72715-4312 Ph: (901) 604-1057 |
Mrs. Mary Elizabeth Tellez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32 Tavistock Dr, Bella Vista, AR 72714 Phone: 214-636-6766 | |
Judy Ann Lewis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 Buckingham Dr, Bella Vista, AR 72714 Phone: 479-903-1930 | |
Julie Kinder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Worstead Ln, Bella Vista, AR 72715 Phone: 479-334-3723 |