| Riverstone Wellness Center, Pllc | |
|
5905 Forest Pl Suite 230 Little Rock AR 72207-5244 | |
| (501) 777-3200 | |
| Not Available |
| Full Name | Riverstone Wellness Center, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5905 Forest Pl, Little Rock, Arkansas |
| Authorized Official Name and Position | Elizabeth G. G. White (OWNER) |
| Authorized Official Contact | 5017773200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Wellness Center, Pllc 5905 Forest Pl Suite 230 Little Rock AR 72207-5244 Ph: (501) 777-3200 | Riverstone Wellness Center, Pllc 5905 Forest Pl Suite 230 Little Rock AR 72207-5244 Ph: (501) 777-3200 |
| NPI Number | 1265897946 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 03/30/2016 |
| Medicare PECOS PAC ID | 9133538275 |
|---|---|
| Medicare Enrollment ID | O20210503000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265897946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6156-C (Arkansas) | Primary |
| Provider Name | Nancy M Streit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508226788 PECOS PAC ID: 1658327994 Enrollment ID: I20050329001318 |
| Provider Name | Meredith L Scroggin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437538402 PECOS PAC ID: 8820005739 Enrollment ID: I20060428000612 |
| Provider Name | Yvonne S Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013187202 PECOS PAC ID: 1456421080 Enrollment ID: I20080609000188 |
| Provider Name | Tiffany L Estes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396896320 PECOS PAC ID: 4183784234 Enrollment ID: I20081119000135 |
| Provider Name | Jim D Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982856142 PECOS PAC ID: 0345306528 Enrollment ID: I20090313000312 |
| Provider Name | Jennifer K Walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235425935 PECOS PAC ID: 7416172036 Enrollment ID: I20140715001163 |
| Provider Name | Kenneth Denton Wulf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164855201 PECOS PAC ID: 7113254806 Enrollment ID: I20190802001262 |
| Provider Name | Priscilla J Mcchristian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588144752 PECOS PAC ID: 0941619365 Enrollment ID: I20210514000202 |
| Provider Name | Corinne K Sappington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821221565 PECOS PAC ID: 1153720560 Enrollment ID: I20210603003295 |
| Provider Name | Charles L Deville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114264298 PECOS PAC ID: 2466619010 Enrollment ID: I20210702001354 |
| Provider Name | Alisyn F Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154889699 PECOS PAC ID: 6901208883 Enrollment ID: I20210714003701 |
| Provider Name | Nancy Kerrence E Michael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376122622 PECOS PAC ID: 6204293764 Enrollment ID: I20230530000329 |
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