T Nicole St Clair, LPC | |
1200 W Walnut St Ste 1402, Rogers, AR 72756-3521 | |
(417) 268-8086 | |
Not Available |
Full Name | T Nicole St Clair |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1200 W Walnut St Ste 1402, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952875916 | NPI | - | NPPES |
490145782 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P1811146 (Arkansas) | Secondary |
101Y00000X | Counselor | 2024015078 (Missouri) | Primary |
Entity Name | Servant's Heart Outreach |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306310008 PECOS PAC ID: 3375070824 Enrollment ID: O20241220003402 |
Mailing Address | Practice Location Address |
---|---|
T Nicole St Clair, LPC Po Box 56, Ozark, MO 65721-0056 Ph: (417) 268-8086 | T Nicole St Clair, LPC 1200 W Walnut St Ste 1402, Rogers, AR 72756-3521 Ph: (417) 268-8086 |
Brett Alden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Walnut St, Ste 3100, Rogers, AR 72756 Phone: 479-631-9996 Fax: 479-631-1782 | |
Alma Kivi, M.S. LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 S 54th St 2, #2, Rogers, AR 72758 Phone: 479-373-2377 | |
Mrs. Judith Ann Pufall, MS LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 W Poplar St, Rogers, AR 72756 Phone: 479-986-8655 Fax: 479-633-9398 | |
Mrs. Kerry Ann Underwood, MS, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 409 W Poplar St, Rogers, AR 72756 Phone: 479-986-8655 Fax: 479-633-9398 | |
Melissa Rojas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 W Walnut St Ste 3, Rogers, AR 72756 Phone: 479-631-9996 | |
Stephanie Dru Ensinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N 2nd St, Rogers, AR 72756 Phone: 479-631-7878 | |
Lisa A Griggs, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2103 S 54th St Ste 2, Rogers, AR 72758 Phone: 479-372-7446 |