Erica Mary Boughfman, LPC | |
2508 Se 20th Street, Bentonville, AR 72712 | |
(479) 750-2020 | |
(479) 750-8967 |
Full Name | Erica Mary Boughfman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2508 Se 20th Street, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386672756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A0402011 (Arkansas) | Secondary |
101YM0800X | Counselor - Mental Health | P0708047 (Arkansas) | Primary |
Entity Name | Ozark Guidance Center, Inc |
---|---|
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 |
---|---|
Erica Mary Boughfman, LPC 2400 S. 48th Street, Springdale, AR 72762 Ph: (479) 750-2020 | Erica Mary Boughfman, LPC 2508 Se 20th Street, Bentonville, AR 72712 Ph: (479) 750-2020 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |