| Samuel J Deck, LPC | |
|
710 S Holly St, Siloam Springs, AR 72761-3304 | |
| (479) 524-8618 | |
| Not Available |
| Full Name | Samuel J Deck |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 710 S Holly St, Siloam Springs, Arkansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356048375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | P2504009 (Arkansas) | Primary |
| Entity Name | Ozark Guidance Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J Deck, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Samuel J Deck, LPC 710 S Holly St, Siloam Springs, AR 72761-3304 Ph: (479) 524-8618 |
Carey Louise Rotramel, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Holly Street, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 | |
Poiema Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-524-5197 | |
Karen Abrahamson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 | |
Kormah Dorko, LPC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Hico St, Siloam Springs, AR 72761 Phone: 479-549-3737 | |
Danielle Dawson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-750-4843 | |
Dwight A Hignite, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 | |
Athea C Coslett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 Fax: 479-750-4843 |