| Life Forward Counseling | |
|
1100 N University Ave Ste 108 Little Rock AR 72207-6356 | |
| (501) 747-2300 | |
| (425) 660-3207 |
| Full Name | Life Forward Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N University Ave Ste 108, Little Rock, Arkansas |
| Authorized Official Name and Position | Jennifer Marie Anderson (DIRECTOR) |
| Authorized Official Contact | 5017472300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Forward Counseling 1100 N University Ave Ste 108 Little Rock AR 72207-6356 Ph: (501) 747-2300 | Life Forward Counseling 1100 N University Ave Ste 108 Little Rock AR 72207-6356 Ph: (501) 747-2300 |
| NPI Number | 1518499433 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 09/04/2019 |
| Medicare PECOS PAC ID | 9931463254 |
|---|---|
| Medicare Enrollment ID | O20180514000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518499433 | NPI | - | NPPES |
| Provider Name | Janice E Dean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376591891 PECOS PAC ID: 9234113382 Enrollment ID: I20040621000841 |
| Provider Name | Tisha Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912230889 PECOS PAC ID: 7719207414 Enrollment ID: I20150520002051 |
| Provider Name | Brian Christopher Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134468895 PECOS PAC ID: 0547542599 Enrollment ID: I20180112000030 |
| Provider Name | Amy Laser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619504396 PECOS PAC ID: 5092136218 Enrollment ID: I20200526001956 |
| Provider Name | Paula C Quattlebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487376935 PECOS PAC ID: 9638547540 Enrollment ID: I20221128001730 |
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