| Heather Hallum, LPC | |
|
5395 W Ash St Ste 2, Pottsville, AR 72858-9228 | |
| (479) 339-0039 | |
| (479) 339-0038 |
| Full Name | Heather Hallum |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 19 Years |
| Location | 5395 W Ash St Ste 2, Pottsville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245529817 | NPI | - | NPPES |
| 266079719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1412121 (Arkansas) | Primary |
| Entity Name | Counseling Centers Of Arkansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053194787 PECOS PAC ID: 5698127041 Enrollment ID: O20240122001504 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Hallum, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Heather Hallum, LPC 5395 W Ash St Ste 2, Pottsville, AR 72858-9228 Ph: (479) 339-0039 |
Patricia Ann Ricketts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5395 W Ash St, Pottsville, AR 72858 Phone: 479-339-0039 | |
Jessica Swartz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5395 W Ash St Ste 2, Pottsville, AR 72858 Phone: 479-339-0039 Fax: 479-339-0038 | |
Rachel Stumbaugh, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5395 W Ash St Ste 2, Pottsville, AR 72858 Phone: 479-222-0268 Fax: 636-324-8551 |