Deborah L Brantley

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

NPI 1669957270 · NPPES record last updated Sep 28, 2018

Key facts

NPI
1669957270
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2607 Caddo St Ste 6
Arkadelphia, AR 71923-5307
Phone
(870) 230-8217
Fax
(870) 230-8201
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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
Arkansas Counseling and Psychodiagnostics, Inc. Past
since Dec 22, 2020
Accepting new patients
Arkansas Counseling and Psychodiagnostics, Inc. Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

2607 Caddo St Ste 6
Arkadelphia, AR 71923-5307

Mailing address

2607 Caddo St Ste 6
Arkadelphia, AR 71923-5307
Phone (870) 230-8217

Other providers in Arkadelphia, AR

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

Sources for this page

Verify at the official NPI Registry.