| Amanda Jane Smart, LPC | |
|
710 S Holly St, Siloam Springs, AR 72761-3304 | |
| (479) 524-8618 | |
| (479) 750-4843 |
| Full Name | Amanda Jane Smart |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 710 S Holly St, Siloam Springs, Arkansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376711762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1012079 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Concepts Pllc | 1951669852 | 18 |
| Entity Name | Pt Concepts Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jane Smart, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Amanda Jane Smart, LPC 710 S Holly St, Siloam Springs, AR 72761-3304 Ph: (479) 524-8618 |
Carey Louise Rotramel, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Holly Street, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 | |
Poiema Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-524-5197 | |
Karen Abrahamson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 | |
Kormah Dorko, LPC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Hico St, Siloam Springs, AR 72761 Phone: 479-549-3737 | |
Danielle Dawson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-750-4843 | |
Dwight A Hignite, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 | |
Athea C Coslett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 |