MS. LUGENE RACKLEY (NPI# 1023136074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023136074 |
Entity Type | Individual |
Full Name | MS. LUGENE RACKLEY |
Credential | LPC |
Practice Address |
609 W 3rd St Imboden AR 72434-9099 |
Mailing Address |
405 W Everett St Pocahontas AR 72455-2655 |
Practice Telephone | 8708692385 |
Practice Fax Number | 8708692685 |
Mailing Telephone | 8708921037 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
P0603015 | AR | Behavioral Health & Social Service Providers |
Street Address |
609 W 3RD ST |
City | IMBODEN |
State | AR |
Zip Code | 72434-9099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356458269 | Barbara K Ackeret-smith | Social Worker | 609 W 3rd St, Imboden, AR 72434-9099 | 2006-08-24 |
1083192058 | Latricia Meyer | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2018-08-01 |
1801382957 | Bridget Lucinda Ingram | Social Worker | 609 W 3rd St, Imboden, AR 72434-9099 | 2018-07-02 |
1548770365 | Demi Stephens | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-10-06 |
1962931147 | Austin Smith | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2017-06-09 |
1225415201 | Elizabeth Hardin | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2015-04-29 |
1245535855 | Lena Huffman | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-13 |
1588969158 | Shawn Page | Case Manager/Care Coordinator | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-12 |
1215232889 | Lloyd Adams | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2011-01-12 |
1851605497 | Brenda Elaine West | Registered Nurse | 609 W 3rd St, Imboden, AR 72434-9099 | 2010-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962960344 | Jmrx LLC | Pharmacy | 110 N. Walnut Street, Imboden, AR 72434 | 2019-03-05 |
1134639222 | Holli Dawn Lillard | Physical Therapist | 5552 Us Hwy 63, Suite B, Imboden, AR 72434 | 2017-10-03 |
1801280557 | Ashley Michelle Saylors | Massage Therapist | 1049 A W 3rd St., Imboden, AR 72434 | 2015-03-20 |
1548514029 | Lawrence Memorial Hospital | Clinic/Center | 201 N Walnut Street, Imboden, AR 72434 | 2012-11-05 |
1093997959 | Sloan-hendrix School District | Local Education Agency (LEA) | 1 Greyhound Drive, Imboden, AR 72434 | 2007-12-03 |
1164620381 | Brenda Marie Ray | Counselor | 106 East Third St, Imboden, AR 72434 | 2007-07-10 |
1487878104 | Murphy Dental Care Pa | Dentist | 1031 West Third St, Imboden, AR 72434 | 2007-04-12 |
1619062601 | Aaron B Murphy | Dentist | 1031 W. Third St., Imboden, AR 72434 | 2006-10-04 |
1417964107 | Jackie R White | Family Medicine | 201 N Walnut, Imboden, AR 72434 | 2006-08-02 |
1528058112 | Imboden Medical Pharmacy Inc | Pharmacist | 203 Walnut St, Imboden, AR 72434 | 2005-10-25 |
Find all providers in zip 72434 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164620381 | Brenda Marie Ray | Counselor | 106 East Third St, Imboden, AR 72434 | 2007-07-10 |
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1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
1932712064 | Lavana J. Kindle | Counselor | Victory Church 1283 Us-278 W, Camden, AR 71701-4551 | 2020-08-28 |
1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
1114557824 | Elysian Counseling Services Pllc | Counselor | 1024 W Court St Ste C, Paragould, AR 72450-4130 | 2020-01-22 |
1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.