| Marious Tolbert, LPC | |
|
2500 Rike Dr, Pine Bluff, AR 71603-3937 | |
| (870) 534-1834 | |
| (870) 534-5798 |
| Full Name | Marious Tolbert |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2500 Rike Dr, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083256820 | NPI | - | NPPES |
| 286158719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A1910138 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P2206023 (Arkansas) | Primary |
| Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Marious Tolbert, LPC 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 | Marious Tolbert, LPC 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 534-1834 |
Willie White Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Kyle Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Nicholas Woodfork, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Kwaeisi Golliday, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Sarah Smith, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Mrs. Kristin Mccool, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 | |
Ms. Tracy Brashears, BS, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Rike Dr, Pine Bluff, AR 71603 Phone: 870-534-1834 Fax: 870-534-5798 |