Mandy Tigert, LPC | |
618 S Knoxville Ave, Russellville, AR 72801-6419 | |
(479) 346-8340 | |
Not Available |
Full Name | Mandy Tigert |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 618 S Knoxville Ave, 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 |
---|---|---|---|
1215079546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1503014 (Arkansas) | Primary |
Entity Name | Harbor House Incorporated Of Fort Smith Arkansas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922166123 PECOS PAC ID: 9032433222 Enrollment ID: O20150116001073 |
Mailing Address | Practice Location Address |
---|---|
Mandy Tigert, LPC 515 S 4th St, Dardanelle, AR 72834-4201 Ph: (501) 339-6625 | Mandy Tigert, LPC 618 S Knoxville Ave, Russellville, AR 72801-6419 Ph: (479) 346-8340 |
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 |