| Charlanda Ford, LPC | |
|
2215 E Oak St Ste 1, Conway, AR 72032-4644 | |
| (501) 336-0511 | |
| (501) 336-4037 |
| Full Name | Charlanda Ford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2215 E Oak St Ste 1, Conway, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376719708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P2208006 (Arkansas) | Primary |
| Entity Name | Inspiration Day Treatment, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811141807 PECOS PAC ID: 5698801272 Enrollment ID: O20100407000729 |
| Entity Name | Supportive Psych Care Of Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlanda Ford, LPC 2215 E Oak St Ste 1, Conway, AR 72032-4644 Ph: (501) 336-0511 | Charlanda Ford, LPC 2215 E Oak St Ste 1, Conway, AR 72032-4644 Ph: (501) 336-0511 |
Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344 | |
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290 | |
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905 | |
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Mr. Collin Thomas Davies, M.A., LPE-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Prince St Ste 53, Conway, AR 72034 Phone: 501-764-3002 Fax: 866-514-7628 | |
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941 |