| Shelly Reaves, LPC, LADAC, MAC, SAP | |
|
1730 Se Moberly Ln Ste 5, Bentonville, AR 72712-7643 | |
| (479) 422-4657 | |
| Not Available |
| Full Name | Shelly Reaves |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1730 Se Moberly Ln Ste 5, Bentonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528397726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1211111 (Arkansas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 356L (Arkansas) | Secondary |
| Entity Name | Shelly Reaves Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306614318 PECOS PAC ID: 0547605990 Enrollment ID: O20240226002400 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Reaves, LPC, LADAC, MAC, SAP 1730 Se Moberly Ln Ste 5, Bentonville, AR 72712-7643 Ph: (479) 422-4657 | Shelly Reaves, LPC, LADAC, MAC, SAP 1730 Se Moberly Ln Ste 5, Bentonville, AR 72712-7643 Ph: (479) 422-4657 |
Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307 | |
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 | |
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110 | |
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843 | |
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 |