Shante Mormon, LCSW, C-DBT | |
685 Shelby Trl Ste 105, Conway, AR 72034-7169 | |
(501) 300-9320 | |
Not Available |
Full Name | Shante Mormon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 685 Shelby Trl Ste 105, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932823358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 5030-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 |
Entity Name | Supportive Psych Care Of Arkansas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887 |
Mailing Address | Practice Location Address |
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Shante Mormon, LCSW, C-DBT 5518 Palisades Cv, Benton, AR 72019-8573 Ph: (330) 807-6045 | Shante Mormon, LCSW, C-DBT 685 Shelby Trl Ste 105, Conway, AR 72034-7169 Ph: (501) 300-9320 |
Jennifer Graham Moix, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860 | |
Sharon L D Dunaway, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 306 Salem Rd, Suite 105, Conway, AR 72034 Phone: 501-339-1751 | |
Laura Gottsponer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Road, Suite #1, Conway, AR 72034 Phone: 479-967-5570 Fax: 479-890-5364 | |
Bambi Marie Parks, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 855 South German Lane Suite 3, Conway, AR 72034 Phone: 501-358-6606 | |
Deborah Kaye Baskins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-5508 | |
Rhonda Love, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-5508 | |
Summer Westerberg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 479-967-5570 Fax: 479-890-5364 |