| Joshua Daniel Wood, LPC | |
|
535 Jordan Dr, Monticello, AR 71655-5714 | |
| (870) 367-6246 | |
| (855) 926-7383 |
| Full Name | Joshua Daniel Wood |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 535 Jordan Dr, Monticello, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730323064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1210092 (Arkansas) | Primary |
| Entity Name | Mainline Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164264834 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Daniel Wood, LPC Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414 | Joshua Daniel Wood, LPC 535 Jordan Dr, Monticello, AR 71655-5714 Ph: (870) 367-6246 |
Mr. David B Jordan, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Pellie Barnes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 Old Warren Rd, Monticello, AR 71655 Phone: 870-300-9520 | |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |