| Angela Dilan Timpani, | |
|
107 E Crandall Ave, Harrison, AR 72601-3629 | |
| (870) 204-7488 | |
| (870) 204-5654 |
| Full Name | Angela Dilan Timpani |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 107 E Crandall Ave, Harrison, 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 |
|---|---|---|---|
| 1053191536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A2309015 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simple Soul Counseling Services, Llc | 6305205329 | 4 |
| Entity Name | Simple Soul Counseling Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164144812 PECOS PAC ID: 6305205329 Enrollment ID: O20231028000160 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Dilan Timpani, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Angela Dilan Timpani, 107 E Crandall Ave, Harrison, AR 72601-3629 Ph: (870) 204-7488 |
Mr. Brandon L Martin I, LPC-S, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 S Pine St, Harrison, AR 72601 Phone: 870-204-6016 Fax: 870-782-2914 |
Melanie Bailey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 E Crandall Ave Ste B, Harrison, AR 72601 Phone: 870-741-8484 Fax: 870-741-4088 |
Virginia Leah Butler, MS LICENSED PROFESSI Counselor Medicare: Accepting Medicare Assignments Practice Location: 815 N Spring St, Harrison, AR 72601 Phone: 870-204-5697 Fax: 870-204-5480 |
Laura Elizabeth Treat, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Main St, Harrison, AR 72601 Phone: 866-403-8476 Fax: 870-424-9061 |
Mrs. Claire Ann Reed, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4494 Oalawn Estates Lane, Harrison, AR 72601 Phone: 870-715-9021 |
Laurel Nichole Gass, PLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 107 E Crandall Ave, Harrison, AR 72601 Phone: 870-741-8484 |
Mr. Joseph S Archibong, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 S Pine St, Harrison, AR 72601 Phone: 870-204-6016 Fax: 870-782-2914 |