Myra Woolfolk

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

100 Issued in AR

Practice address

12100 Highway 270
White Hall, AR 71602-8866

Phone

(870) 413-1973

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Exodus.Life

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1437889185
  NPD
• United Family Services, Inc.

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1326300278
  NPD (past)
• United Family Services, Inc.

  • Case Management Agency
  • Little Rock, AR
  • NPI 1861602864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1558818583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 HIGHWAY 270",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716028866",
            "telephone_number": "708-413-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 HIGHWAY 270",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716028866",
            "telephone_number": "870-413-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFOLK",
        "first_name": "MYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "A-277",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvlyn Wimbley, PLMSW
• Windell Johnson, P. a.
• Stephen Witherspoon, QBHP
• Woodlands Pharmacy Management (Woodlands Pharmacy)
• Woodlands Pharmacy Management LLC (Woodlands Pharmacy)
• Stacie Schifani Wray, M.S.
• Rashidat Katrice Wright-Hill, INTERN
• Jalicia Wyatt, MHPP
• Karla Young, NP-C

• Addiction (Substance Use Disorder) Counselor in White Hall, AR
• Providers in White Hall, AR by specialty
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.