Chandler Bryan, LPC | |
2106 S 54th St Ste 3, Rogers, AR 72758-8198 | |
(479) 481-4156 | |
Not Available |
Full Name | Chandler Bryan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2106 S 54th St Ste 3, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689206971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A2007103 (Arkansas) | Secondary |
101YP2500X | Counselor - Professional | P2401015 (Arkansas) | Primary |
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
Entity Name | Arisa Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
Mailing Address | Practice Location Address |
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Chandler Bryan, LPC 2106 S 54th St Ste 3, Rogers, AR 72758-8198 Ph: (479) 481-4156 | Chandler Bryan, LPC 2106 S 54th St Ste 3, Rogers, AR 72758-8198 Ph: (479) 481-4156 |
Brett Alden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Walnut St, Ste 3100, Rogers, AR 72756 Phone: 479-631-9996 Fax: 479-631-1782 | |
Alma Kivi, M.S. LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 S 54th St 2, #2, Rogers, AR 72758 Phone: 479-373-2377 | |
Mrs. Judith Ann Pufall, MS LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 W Poplar St, Rogers, AR 72756 Phone: 479-986-8655 Fax: 479-633-9398 | |
Mrs. Kerry Ann Underwood, MS, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 W Poplar St, Rogers, AR 72756 Phone: 479-986-8655 Fax: 479-633-9398 | |
Melissa Rojas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 W Walnut St Ste 3, Rogers, AR 72756 Phone: 479-631-9996 | |
Stephanie Dru Ensinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N 2nd St, Rogers, AR 72756 Phone: 479-631-7878 | |
Lisa A Griggs, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 S 54th St Ste 2, Rogers, AR 72758 Phone: 479-372-7446 |