Damaris Maxfield, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · El Dorado, AR
NPI 1619254919 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1619254919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1492 (AR)
- Practice address
- 100 Hargett Dr
El Dorado, AR 71730-6521 - Phone
- (870) 881-9301
- Fax
- (870) 864-9934
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| South Arkansas Substance Abuse | Past | Accepting new patients | |
| South Arkansas Substance Abuse | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1492 | AR | Yes |
Addresses
Primary practice location
100 Hargett Dr
El Dorado, AR 71730-6521
Mailing address
100 Hargett Dr
El Dorado, AR 71730-6521
Phone (870) 881-9301
Other providers in El Dorado, AR
- Stephanie Renea Mann
- Denika Martin
- Jennifer Lynn Martin
- Kerri Leigh Marx
- Gregg L Massanelli
- Lisa McAdams
- Kasey Leigh McClain
- Lance McCoy
- Lauren McCoy
- Spencer McCullough
All providers in El Dorado, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. 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.