| Living Hope Southeast, Llc | |
|
10025 W Markham St Ste 210 Little Rock AR 72205-2178 | |
| (501) 663-5473 | |
| (501) 801-1816 |
| Full Name | Living Hope Southeast, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10025 W Markham St Ste 210, Little Rock, Arkansas |
| Authorized Official Name and Position | Lynne Lindsay (BUSINESS OPERATIONS COORDINATOR) |
| Authorized Official Contact | 5016635473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Hope Southeast, Llc 10025 W Markham St Ste 210 Little Rock AR 72205-2178 Ph: (501) 663-5473 | Living Hope Southeast, Llc 10025 W Markham St Ste 210 Little Rock AR 72205-2178 Ph: (501) 663-5473 |
| NPI Number | 1689877862 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Medicare PECOS PAC ID | 3072605831 |
|---|---|
| Medicare Enrollment ID | O20070823001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689877862 | NPI | - | NPPES |
| 165404526 | Medicaid | AR |
| Provider Name | David Haas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518924471 PECOS PAC ID: 4183520984 Enrollment ID: I20040204000196 |
| Provider Name | Stephen L Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003095415 PECOS PAC ID: 0143296236 Enrollment ID: I20040909000688 |
| Provider Name | Thomas R Winans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386680528 PECOS PAC ID: 9931281706 Enrollment ID: I20080201000081 |
| Provider Name | Barbara J Franzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427038728 PECOS PAC ID: 0446259329 Enrollment ID: I20101029000617 |
| Provider Name | Kenneth G Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942411483 PECOS PAC ID: 1850570177 Enrollment ID: I20130313000021 |
| Provider Name | Beth L Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962630947 PECOS PAC ID: 3375550635 Enrollment ID: I20180302000960 |
| Provider Name | Dominik D Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033484605 PECOS PAC ID: 2466792890 Enrollment ID: I20190322000273 |
| Provider Name | Rebecca S Woodall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194009431 PECOS PAC ID: 1557690914 Enrollment ID: I20190910001769 |
| Provider Name | Elizabeth Fiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003455833 PECOS PAC ID: 6608207717 Enrollment ID: I20200505001845 |
| Provider Name | Tiffany P Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477057156 PECOS PAC ID: 1951720283 Enrollment ID: I20201006000707 |
| Provider Name | Stacey L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528611654 PECOS PAC ID: 0547680092 Enrollment ID: I20201021002888 |
| Provider Name | Kathryn C Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720646490 PECOS PAC ID: 1658782016 Enrollment ID: I20201117000115 |
| Provider Name | Jennifer Rawls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831770981 PECOS PAC ID: 8820497233 Enrollment ID: I20210604000045 |
| Provider Name | Jennifer M Balch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154834802 PECOS PAC ID: 9234516089 Enrollment ID: I20220516002920 |
| Provider Name | Holly Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124495023 PECOS PAC ID: 4284013533 Enrollment ID: I20220616003113 |
| Provider Name | Angela D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720320534 PECOS PAC ID: 1850768094 Enrollment ID: I20221101002202 |
| Provider Name | Shelley S Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427417443 PECOS PAC ID: 8325404247 Enrollment ID: I20230519000453 |
| Provider Name | Emily Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861186181 PECOS PAC ID: 4688035025 Enrollment ID: I20230801002266 |
| Provider Name | Misty Lyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629471800 PECOS PAC ID: 5092164608 Enrollment ID: I20231208001387 |
| Provider Name | Cynthia Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699843409 PECOS PAC ID: 9638528219 Enrollment ID: I20231222000501 |
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