| Mrs Lori Ann Wilson, LPC | |
|
1940 S Whitehead Dr, De Witt, AR 72042-2906 | |
| (870) 946-4505 | |
| (870) 946-3357 |
| Full Name | Mrs Lori Ann Wilson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 1940 S Whitehead Dr, De Witt, 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 |
|---|---|---|---|
| 1699499111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2503023 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-delta Health Systems Inc | 3870574668 | 11 |
| Entity Name | Mid-delta Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori Ann Wilson, LPC 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Mrs Lori Ann Wilson, LPC 1940 S Whitehead Dr, De Witt, AR 72042-2906 Ph: (870) 946-4505 |
Terry Milton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Main St, De Witt, AR 72042 Phone: 208-943-4265 Fax: 870-558-5479 | |
Helen Jennings-hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 S Jefferson St, De Witt, AR 72042 Phone: 870-946-8303 Fax: 870-946-8217 | |
Hallie Elizabeth Horton, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 S Main St, De Witt, AR 72042 Phone: 208-943-4265 | |
Ashtyn Brooke Beck, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1718 S Grandview Dr, De Witt, AR 72042 Phone: 870-946-4651 |