MS. DORINDA LUCILLE WALLACE


Address: 28 Southpointe Dr, Paragould, AR 72450-6238
Phone: 8702392244

MS. DORINDA LUCILLE WALLACE (NPI# 1477106128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477106128
Entity Type Individual
Full Name MS. DORINDA LUCILLE WALLACE
Credential QBHP
Practice Address 28 Southpointe Dr
Paragould
AR 72450-6238
Mailing Address 2707 Browns Ln
Jonesboro
AR 72401-7213
Practice Telephone 8702392244
Practice Fax Number 8702361616
Mailing Telephone 8709724939
Mailing Fax Number 8709724911
Enumeration Date 2019-07-22
Last Update Date 2019-07-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 28 SOUTHPOINTE DR
City PARAGOULD
State AR
Zip Code 72450-6238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336141902 Karen J Reinertsen Specialist 28 Southpointe Dr, Paragould, AR 72450-6238 2005-08-12
1659986628 Shelley Dhane Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2020-09-15
1326683657 Tabatha Shree Hollywood Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2019-11-11
1275187627 Nina Sue Brown Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2019-07-24
1003469750 David Stephen Wessell Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2019-07-22
1841768553 Ashley Lynn Russom Counselor 28 Southpointe Dr, Paragould, AR 72450-6238 2018-11-12
1609357722 Hailee Marie Shaver Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2018-08-27
1235618893 Brooke Lynn Midgett Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2018-08-14
1609362011 Jessica Lee Ann Pruitt Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450-6238 2018-07-09
1336631530 Katelyn Brooke Earls Case Manager/Care Coordinator 28 Southpointe Dr, Paragould, AR 72450 2018-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063029460 Onward and Upward Counseling, Pllc Counselor 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 2020-09-29
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1205457405 Arkansas Methodist Hospital Corp. Family Medicine 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 2020-04-29
1053968222 Stewart Pediatric Therapy LLC Occupational Therapist 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 2019-08-22
1821575911 Ashley Brooke Mcleskey Physical Therapy Assistant 9504 Hwy 135 N, Paragould, AR 72450 2018-07-23
1437660925 Susan Leigh Boling Behavioral Analyst 3171 Green 905 Road, Paragould, AR 72450 2017-10-24
1518481589 Amy Elms Nurse Practitioner 1000 W Kingshighway Ste 3, Paragould, AR 72450 2017-08-01
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1285097949 Chelsea Lee Thompson Family Medicine 1110 W. Kingshighway, Paragould, AR 72450 2016-03-31
1609234269 Bethel Burris Oliver Dentist 2713 W Kings Highway, Paragould, AR 72450 2016-02-10
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073065074 Sarah Katherine Medley Case Manager/Care Coordinator 1101 West Morgan, Paragould, AR 72450 2016-10-26
1730596974 Andrew Withrow Case Manager/Care Coordinator 45 Ashcraft Ct, Paragould, AR 72450-7592 2014-07-21
1255755146 Timothy Cavaness Case Manager/Care Coordinator 100 N Rockingchair Rd Ste 2, Paragould, AR 72450-2475 2014-02-12
1710308473 Tonia Scales I Case Manager/Care Coordinator 100 Nth Rockingchair Rd, Paragould, AR 72450 2013-12-26
1811326408 Brandi Mcfadden Case Manager/Care Coordinator 3404 Club View Dr, Paragould, AR 72450-8611 2013-11-05
1215293766 Amalie Fields Case Manager/Care Coordinator 1101 West Morgan Street, Paragould, AR 72450 2012-04-10
1609164896 Alicia Gardner Case Manager/Care Coordinator 211 N. 23rd Street, Suite 6, Paragould, AR 72450 2011-07-21
1912299207 Whitney Leigh Siebert Case Manager/Care Coordinator 211 N 23rd Street #6 & #7, Paragould, AR 72450 2011-05-05
1700183332 Tyler Garmrath Case Manager/Care Coordinator 1101 W Morgan St, Suite 8, Paragould, AR 72450-3949 2011-02-17
1619103702 Matthew Matthew Jackson Case Manager/Care Coordinator 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 2009-06-03
Find all providers in PARAGOULD

Competitor

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City PARAGOULD
Zip Code 72450

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Dataset Information

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.

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