| Amanda Davis, LPC | |
|
1310 W Main St Ste 100, Russellville, AR 72801-2803 | |
| (479) 968-2001 | |
| (479) 219-9425 |
| Full Name | Amanda Davis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 1310 W Main St Ste 100, Russellville, 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 |
|---|---|---|---|
| 1124459235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A1509118 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nextstep Counseling Services Llc | 3577951581 | 21 |
| Entity Name | Nextstep Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801488317 PECOS PAC ID: 3577951581 Enrollment ID: O20211025001607 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Davis, LPC 1310 W Main St Ste 201, Russellville, AR 72801-2803 Ph: (479) 968-2001 | Amanda Davis, LPC 1310 W Main St Ste 100, Russellville, AR 72801-2803 Ph: (479) 968-2001 |
Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Raven Cruz-humberto, Counselor Medicare: Accepting Medicare Assignments Practice Location: 104 Lock And Dam Rd, Russellville, AR 72802 Phone: 479-747-5222 | |
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Mary Caitlyn Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Boston Pl, Russellville, AR 72801 Phone: 479-219-4100 | |
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011 | |
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 | |
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 |