| Miss Holli B Shelton, LPC | |
|
143 Highway 463 N, Trumann, AR 72472-3501 | |
| (870) 568-1286 | |
| (870) 301-3707 |
| Full Name | Miss Holli B Shelton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 143 Highway 463 N, Trumann, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437398518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1306057 (Arkansas) | Primary |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306613880 PECOS PAC ID: 5092120030 Enrollment ID: O20240321002678 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Holli B Shelton, LPC 143 Highway 463 N, Trumann, AR 72472-3501 Ph: (870) 243-6457 | Miss Holli B Shelton, LPC 143 Highway 463 N, Trumann, AR 72472-3501 Ph: (870) 568-1286 |
Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Reginald Chandler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 | |
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 |