Mikayla Maria Alderson

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

NPI 1851808596 · NPPES record last updated Jan 3, 2018

Key facts

NPI
1851808596
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1701 Donaghey Ave
Conway, AR 72032-2511
Phone
(501) 327-1701
Fax
(501) 327-3234
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

1701 Donaghey Ave
Conway, AR 72032-2511

Mailing address

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 968-1298

Other providers in Conway, AR

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

Sources for this page

Verify at the official NPI Registry.