| Tiara L Miller, LCSW | |
|
1400 Murrell Taylor Dr, Jacksonville, AR 72076-8118 | |
| (501) 255-2484 | |
| (501) 642-0388 |
| Full Name | Tiara L Miller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1400 Murrell Taylor Dr, Jacksonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528352366 | NPI | - | NPPES |
| 259807719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7878-C (Arkansas) | Primary |
| Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
| Entity Name | Freshly Renewed Transitional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881251510 PECOS PAC ID: 9436544574 Enrollment ID: O20220328000970 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara L Miller, LCSW Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-3475 | Tiara L Miller, LCSW 1400 Murrell Taylor Dr, Jacksonville, AR 72076-8118 Ph: (501) 255-2484 |
Amanda Brett Rowe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
George Zappalorta, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1400 Braden St Ste 1, Jacksonville, AR 72076 Phone: 012-411-6765 Fax: 501-241-1427 | |
Jacquelyn Bearden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2411 W Main St, Jacksonville, AR 72076 Phone: 501-982-5402 Fax: 501-982-5404 | |
Mrs. Andrea Stiles, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2126 N 1st St Ste F, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Mrs. Brandi Lashaye Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 | |
Ms. Patricia D Snow, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-453-6000 Fax: 501-453-6950 | |
Mr. Mark Howard Kelso, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 James Street, Jacksonville, AR 72076 Phone: 501-982-5000 Fax: 501-982-5007 |