| Lisa Cunningham, LPC | |
|
2005 Mclain St, Newport, AR 72112-3662 | |
| (870) 495-1990 | |
| (870) 495-1994 |
| Full Name | Lisa Cunningham |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 2005 Mclain St, Newport, 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 |
|---|---|---|---|
| 1215059993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0301001 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Mental Health And Wellness Llc | 0345574737 | 24 |
| Entity Name | Renew Mental Health and Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447817572 PECOS PAC ID: 0345574737 Enrollment ID: O20190618002223 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Cunningham, LPC 2809 Forest Home Rd, Jonesboro, AR 72401-5320 Ph: (866) 972-1268 | Lisa Cunningham, LPC 2005 Mclain St, Newport, AR 72112-3662 Ph: (870) 495-1990 |
Mrs. Peggy Foster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-523-3643 |
Hannah Marie Wojcik, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 Corrections Dr, Newport, AR 72112 Phone: 870-523-2639 |
Allen Busby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Mclain St, Newport, AR 72112 Phone: 870-495-1990 |
Mr. Troy Larry Vincent Sr., LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N. Pecan St., Newport, AR 72112 Phone: 870-523-3643 |
Kelly Drye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 Mclain St, Newport, AR 72112 Phone: 870-495-1990 Fax: 870-495-1994 |
Jonathan David Brumfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1507 N Pecan St, Newport, AR 72112 Phone: 870-793-8900 Fax: 870-793-8900 |
Ralph Irwin Wray, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 107 Laurel St, Newport, AR 72112 Phone: 870-972-4939 Fax: 870-972-4911 |