| Latisha Johnson, LPC | |
|
3150 E Heritage Pkwy, Farmington, AR 72730-5529 | |
| (479) 400-1140 | |
| (479) 400-1151 |
| Full Name | Latisha Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3150 E Heritage Pkwy, Farmington, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134408636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1412110 (Arkansas) | Primary |
| Entity Name | Arcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059 |
| 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 |
|---|---|
| Latisha Johnson, LPC Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-3475 | Latisha Johnson, LPC 3150 E Heritage Pkwy, Farmington, AR 72730-5529 Ph: (479) 400-1140 |
Dr. Julie C. Hill, PHD, NCC, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 S Nightfall Ave, Farmington, AR 72730 Phone: 479-384-5949 | |
Ms. Tessa Renee Vanderhorn, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Southwinds Rd, Farmington, AR 72730 Phone: 479-222-1156 | |
Sarah Wilson James Bryson, LCSW, LADAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 128 Southwinds Rd Ste 5, Farmington, AR 72730 Phone: 479-267-6934 | |
Cristy S Bartlett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3331 East Heritage Parkway, Farmington, AR 72730 Phone: 479-879-0094 Fax: 888-547-7660 | |
Kim Ferguson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Southwinds Rd Ste 5, Farmington, AR 72730 Phone: 479-466-0716 |