| Leigh Alexandria Maxwell, | |
|
110 Skyline Dr, Russellville, AR 72801-3362 | |
| (479) 968-1298 | |
| (497) 968-6053 |
| Full Name | Leigh Alexandria Maxwell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 110 Skyline Dr, Russellville, 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 |
|---|---|---|---|
| 1467776815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | P1611175 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Counseling Associates Inc | 3173583564 | 30 |
| Entity Name | Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Alexandria Maxwell, 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 725-5115 | Leigh Alexandria Maxwell, 110 Skyline Dr, Russellville, AR 72801-3362 Ph: (479) 968-1298 |
Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Raven Cruz-humberto, Counselor Medicare: May Accept Medicare Assignments Practice Location: 104 Lock And Dam Rd, Russellville, AR 72802 Phone: 479-747-5222 | |
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Mary Caitlyn Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Boston Pl, Russellville, AR 72801 Phone: 479-219-4100 | |
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011 | |
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 | |
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 |