| Derrick Singleton, LPC | |
|
514 Chickasawba St, Blytheville, AR 72315-2722 | |
| (870) 824-2268 | |
| Not Available |
| Full Name | Derrick Singleton |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | 514 Chickasawba St, Blytheville, Arkansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568639094 | NPI | - | NPPES |
| 227574719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | P1006043 (Arkansas) | Primary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809001784 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Singleton, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Derrick Singleton, LPC 514 Chickasawba St, Blytheville, AR 72315-2722 Ph: (870) 824-2268 |
Robin Love Terry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Chickasawba, Blytheville, AR 72315 Phone: 870-824-2268 Fax: 870-622-0782 |
Brandi Brown-benson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Chickasawba St, Blytheville, AR 72315 Phone: 870-824-2268 Fax: 870-824-2269 |
Lartyania Merriweather, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 |
Kimberly Diane Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 |
Mr. Robbie Robinson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 |
Syreeta Delphene Dawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 Fax: 870-763-5056 |