| Linda Elaine Phillips, MED LICENSED PROFESS | |
| 
					110 Skyline Drive, Russellville, AR 72801  | |
| (479) 968-1298 | |
| (479) 968-6053 | 
| Full Name | Linda Elaine Phillips | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 110 Skyline Drive, Russellville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629168067 | NPI | - | NPPES | 
| 227040719 | Medicaid | AR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P8906008 (Arkansas) | Primary | 
| 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 | 
|---|---|
| Linda Elaine Phillips, MED LICENSED PROFESS 350 Salem Road, Suite 1, Conway, AR 72034 Ph: (501) 336-8300  | Linda Elaine Phillips, MED LICENSED PROFESS 110 Skyline Drive, Russellville, AR 72801 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: Not Enrolled in Medicare Practice Location: 700 E Parkway Dr, Russellville, AR 72801 Phone: 866-921-0149 Fax: 479-777-4400  | |
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: Medicare Enrolled 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  |