| Mandy Tigert, LPC | |
|
618 S Knoxville Ave, Russellville, AR 72801-6419 | |
| (479) 346-8340 | |
| Not Available |
| Full Name | Mandy Tigert |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 618 S Knoxville Ave, 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 |
|---|---|---|---|
| 1215079546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1503014 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor House Incorporated Of Fort Smith Arkansas | 9032433222 | 6 |
| 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: 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 |