| Life Within Counseling Group, Llc | |
|
905 Mcafee Medical Circle Beebe AR 72012 | |
| (501) 712-3031 | |
| (501) 242-0820 |
| Full Name | Life Within Counseling Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 905 Mcafee Medical Circle, Beebe, Arkansas |
| Authorized Official Name and Position | Thomas Dale Ritchie (OWNER/THERAPIST) |
| Authorized Official Contact | 5017123031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Within Counseling Group, Llc 905 Mcafee Medical Circle Beebe AR 72012 Ph: (501) 712-3031 | Life Within Counseling Group, Llc 905 Mcafee Medical Circle Beebe AR 72012 Ph: (501) 712-3031 |
| NPI Number | 1477051654 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 0446684971 |
|---|---|
| Medicare Enrollment ID | O20191216002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477051654 | NPI | - | NPPES |
| 183080795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1412126 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P1412126 (Arkansas) | Primary |
| Provider Name | Andrea M Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073529491 PECOS PAC ID: 9234175480 Enrollment ID: I20050628001355 |
| Provider Name | Hannah K Mcmullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396181491 PECOS PAC ID: 9739418815 Enrollment ID: I20190916001641 |
| Provider Name | Allison N Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609292937 PECOS PAC ID: 8123458163 Enrollment ID: I20200415001847 |
| Provider Name | Scotty W Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639391071 PECOS PAC ID: 9830509157 Enrollment ID: I20201027002712 |
| Provider Name | Jordan N Elmgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467805655 PECOS PAC ID: 7214345230 Enrollment ID: I20210412002505 |