| Mr David B Jordan, MHPP | |
|
1371 Highway 278 W, Monticello, AR 71655-9663 | |
| (870) 367-2143 | |
| (870) 367-2145 |
| Full Name | Mr David B Jordan |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1371 Highway 278 W, Monticello, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003064460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Resolutions Behavioral Health Service, LLC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992279731 PECOS PAC ID: 0547509846 Enrollment ID: O20190305000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David B Jordan, MHPP 5537 Bleaux Ave, Springdale, AR 72762-0737 Ph: (479) 872-5580 | Mr David B Jordan, MHPP 1371 Highway 278 W, Monticello, AR 71655-9663 Ph: (870) 367-2143 |
Mrs. Pellie Barnes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 Old Warren Rd, Monticello, AR 71655 Phone: 870-300-9520 |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |
Jasmine N Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 |