| Mrs Carrie Lynn Appleby, LPC, LISAC | |
|
7480 E Jolly Rogue Ln, Williams, AZ 86046-8544 | |
| (602) 432-9830 | |
| Not Available |
| Full Name | Mrs Carrie Lynn Appleby |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7480 E Jolly Rogue Ln, Williams, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871867085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-17734 (Arizona) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-15127 (Arizona) | Secondary |
| Entity Name | Community Bridges Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carrie Lynn Appleby, LPC, LISAC 7480 E Jolly Rogue Ln, Williams, AZ 86046-8544 Ph: (602) 432-9830 | Mrs Carrie Lynn Appleby, LPC, LISAC 7480 E Jolly Rogue Ln, Williams, AZ 86046-8544 Ph: (602) 432-9830 |
Jody Tatro, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 263 Pinecrest Trl, Williams, AZ 86046 Phone: 415-497-4354 | |
Dr. Imac Soraya Reynaga Holmes, ED.D M.S. LPC LCADC Counselor Medicare: Medicare Enrolled Practice Location: 300 S 6th St, Williams, AZ 86046 Phone: 928-635-4441 Fax: 928-635-4403 | |
Mrs. Mary Denise Heiss, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 S 7th St, Williams, AZ 86046 Phone: 928-635-4474 Fax: 928-635-2796 | |
Robert Leslie Farrell, M.ED.,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N 7th St, Williams, AZ 86046 Phone: 928-635-4428 Fax: 928-635-1213 |