| Sherita Shepherd, LPC-CADC | |
|
555 West Gaines Street, Monticello, AR 71655 | |
| (870) 224-7100 | |
| (870) 224-0373 |
| Full Name | Sherita Shepherd |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 555 West Gaines Street, Monticello, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609413111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2205011 (Arkansas) | Primary |
| Entity Name | Living Hope Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689877862 PECOS PAC ID: 3072605831 Enrollment ID: O20070823001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Sherita Shepherd, LPC-CADC 10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178 Ph: (501) 663-5473 | Sherita Shepherd, LPC-CADC 555 West Gaines Street, Monticello, AR 71655 Ph: (870) 224-7100 |
Mr. David B Jordan, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Pellie Barnes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 745 Old Warren Rd, Monticello, AR 71655 Phone: 870-300-9520 | |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 |