Shara Jane Dail, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Imboden, AR
NPI 1467682575 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1467682575
- 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
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Community Counseling Corp | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 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 providers in Imboden, AR
- Seth Bradley
- Judy Kaye Bright
- Carla Renee Brown
- Cornerstone Community Counseling Corp
- Rose Anna Crawford
- Dayspring Behavioral Health
- Elite Therapy and Wellness
- Julie Michelle Fort
- Genesis Health and Wellness, PLLC
- Elizabeth Hardin
All providers in Imboden, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.