Cecily Shae Forrest, LPN

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

NPI 1497993166 · NPPES record last updated Feb 3, 2009

Key facts

NPI
1497993166
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
L47894 (AR)
Practice address
708 Hwy 65 South
Dumas, AR 71639
Phone
(870) 382-4001
Fax
(870) 382-6094
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
L47894ARMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Counseling Associates Inc Past
since Oct 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X L47894 AR Yes

Addresses

Primary practice location

708 Hwy 65 South
Dumas, AR 71639

Mailing address

790 Roberts Drive
Monticello, AR 71655
Phone (870) 367-2461

Other providers in Dumas, AR

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

Sources for this page

Verify at the official NPI Registry.