| Rachel Stumbaugh, LPC | |
|
5395 W Ash St Ste 2, Pottsville, AR 72858-9228 | |
| (479) 222-0268 | |
| (636) 324-8551 |
| Full Name | Rachel Stumbaugh |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 5395 W Ash St Ste 2, Pottsville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770834228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2007050 (Arkansas) | Primary |
| 101YM0800X | Counselor - Mental Health | P2007050 (Arkansas) | Secondary |
| Entity Name | Counseling Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Stumbaugh, LPC 8266 Sr 105 N, Russellville, AR 72802-1470 Ph: (479) 880-6934 | Rachel Stumbaugh, LPC 5395 W Ash St Ste 2, Pottsville, AR 72858-9228 Ph: (479) 222-0268 |
Heather Hallum, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 5395 W Ash St Ste 2, Pottsville, AR 72858 Phone: 479-339-0039 Fax: 479-339-0038 | |
Patricia Ann Ricketts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5395 W Ash St, Pottsville, AR 72858 Phone: 479-339-0039 | |
Jessica Swartz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5395 W Ash St Ste 2, Pottsville, AR 72858 Phone: 479-339-0039 Fax: 479-339-0038 |