| Hope Counseling Associates | |
|
215 N East Ave Ste 201 Fayetteville AR 72701-5296 | |
| (901) 213-6395 | |
| Not Available |
| Full Name | Hope Counseling Associates |
|---|---|
| Speciality | Social Worker |
| Location | 215 N East Ave Ste 201, Fayetteville, Arkansas |
| Authorized Official Name and Position | Misti D Lira (OWNER) |
| Authorized Official Contact | 4792399181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Counseling Associates 215 N East Ave Ste 201 Fayetteville AR 72701-5296 Ph: (479) 239-9181 | Hope Counseling Associates 215 N East Ave Ste 201 Fayetteville AR 72701-5296 Ph: (901) 213-6395 |
| NPI Number | 1073051934 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 01/03/2023 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 3476979220 |
|---|---|
| Medicare Enrollment ID | O20200811003426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073051934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2205-C (Arkansas) | Primary |
| Provider Name | Misti D Lira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760511489 PECOS PAC ID: 0143393439 Enrollment ID: I20080719000125 |
| Provider Name | Julie P Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417076456 PECOS PAC ID: 5193872851 Enrollment ID: I20090415000227 |
| Provider Name | Courtney Myrick Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558777896 PECOS PAC ID: 7012275779 Enrollment ID: I20171229001780 |
| Provider Name | Theresa A James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659911980 PECOS PAC ID: 3577952886 Enrollment ID: I20211108001223 |
| Provider Name | Allison Fullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831398874 PECOS PAC ID: 7618361296 Enrollment ID: I20220224000838 |
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