Latricia Meyer, QBHP

Individual provider Active NPI Case Manager/Care Coordinator · Imboden, AR

NPI 1083192058 · NPPES record last updated Aug 1, 2018

Key facts

NPI
1083192058
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
609 W 3Rd St
Imboden, AR 72434-9099
Phone
(870) 869-1500
Fax
(870) 869-1505
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Community Counseling Corp Past
since Aug 3, 2009
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Yes

Addresses

Primary practice location

609 W 3Rd St
Imboden, AR 72434-9099

Mailing address

609 W 3Rd St
Imboden, AR 72434-9099
Phone (870) 869-1500

Other practice location 1

2012 Wilkins Ave
Jonesboro, AR 72401-5220
Phone (870) 938-0194

Other providers in Imboden, AR

All providers in Imboden, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.