| Adolescent And Family Advocates | |
|
3103 Alma Highway Van Buren AR 72956 | |
| (479) 474-4483 | |
| (479) 262-5041 |
| Full Name | Adolescent And Family Advocates |
|---|---|
| Speciality | Clinic/Center |
| Location | 3103 Alma Highway, Van Buren, Arkansas |
| Authorized Official Name and Position | Melissa Robertson (OFFICE MANAGER) |
| Authorized Official Contact | 4794744483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent And Family Advocates 3103 Alma Highway Van Buren AR 72956 Ph: (479) 474-4483 | Adolescent And Family Advocates 3103 Alma Highway Van Buren AR 72956 Ph: (479) 474-4483 |
| NPI Number | 1578775466 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 7517384241 |
|---|---|
| Medicare Enrollment ID | O20200826003204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578775466 | NPI | - | NPPES |
| Provider Name | Brent V Witherington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427144005 PECOS PAC ID: 4082796800 Enrollment ID: I20080131000375 |
| Provider Name | Jesse R Carothers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801001763 PECOS PAC ID: 2567747538 Enrollment ID: I20170315000458 |
| Provider Name | Elizabeth Emily Watters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447620844 PECOS PAC ID: 0941627681 Enrollment ID: I20200826003364 |
| Provider Name | Candace Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912509225 PECOS PAC ID: 2668843772 Enrollment ID: I20230128000454 |
| Provider Name | John H. Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184752412 PECOS PAC ID: 9335566066 Enrollment ID: I20231228000364 |
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