| Candace Mccallister, LPC | |
|
1 Lile Ct Ste 200, Little Rock, AR 72205-6240 | |
| (501) 663-1837 | |
| (501) 663-1839 |
| Full Name | Candace Mccallister |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1 Lile Ct Ste 200, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427773944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2502010 (Arkansas) | Primary |
| Entity Name | Real Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568943140 PECOS PAC ID: 1153751334 Enrollment ID: O20200501000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Mccallister, LPC 1310 W Main St, Russellville, AR 72801-2816 Ph: (479) 968-2001 | Candace Mccallister, LPC 1 Lile Ct Ste 200, Little Rock, AR 72205-6240 Ph: (501) 663-1837 |
Charlie Simpson Iii, LAMFT, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Shackleford Plz Ste 100, Little Rock, AR 72211 Phone: 501-313-1185 | |
Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199 | |
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500 | |
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116 | |
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469 | |
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500 | |
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011 |