DEBORAH WALLIS (NPI# 1790908374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790908374 |
| Entity Type | Individual |
| Full Name | DEBORAH WALLIS |
| Credential | LAC |
| Practice Address |
1575 Highway 371 W Nashville AR 71852-7598 |
| Mailing Address |
127 Woodruff Ln Nashville AR 71852-7542 |
| Practice Telephone | 8704519742 |
| Practice Fax Number | 8704519752 |
| Mailing Telephone | 8705571094 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A0302010 | AR | Behavioral Health & Social Service Providers |
| Street Address |
1575 HIGHWAY 371 W |
| City | NASHVILLE |
| State | AR |
| Zip Code | 71852-7598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700900180 | Jennifer Suzanne Fincher | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2007-03-19 |
| 1033365226 | Sharon Kay Ritz | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-08-07 |
| 1851547046 | Jeffrey Loy Cassady | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-08-07 |
| 1962658153 | Jeremy Brent Green | Counselor | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-08-07 |
| 1891950333 | Teaxarkana Behavioral Associates, Lc | Clinic/Center | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-07-24 |
| 1306015235 | Felicia Denise Brown | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2008-02-25 |
| 1073701363 | Chris Terrell Carrigan | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2007-10-11 |
| 1104039106 | Teresa Miller | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2007-05-07 |
| 1780706861 | Maria Helena Barandiaran | Psychologist | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2007-04-06 |
| 1740303809 | Heather D'auhn Beth | Case Manager/Care Coordinator | 1575 Highway 371 W, Nashville, AR 71852-7598 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766316 | Kaydra Ayers | Case Manager/Care Coordinator | 508 N. 2nd Street, Nashville, AR 71852 | 2019-08-21 |
| 1861925794 | Kristin T Myers | Occupational Therapy Assistant | 27 Boyd Lane, Nashville, AR 71852 | 2017-04-07 |
| 1639539687 | Regan Carlton | Occupational Therapy Assistant | 1407 Maine St, Nashville, AR 71852 | 2016-03-03 |
| 1053633487 | Rehab Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 22 Southpark Shopping Center, Nashville, AR 71852 | 2010-02-26 |
| 1104312701 | American Oncology Partners, P.a. | Internal Medicine | 130 Medical Cir, Nashville, AR 71852 | 2018-07-06 |
| 1528573896 | Lhcg Cxxv, LLC | Nursing Care | 505 S Main St, Nashville, AR 71852 | 2017-12-08 |
| 1346542933 | Karen Loomis | Nurse Practitioner | 6 Southpark Shopping Ctr, Nashville, AR 71852 | 2010-12-02 |
| 1043538218 | Syed Ussama Javed | Family Medicine | 119 Medical Circle, Suite 1, Nashville, AR 71852 | 2010-05-12 |
| 1558516831 | Joni D Mcghee | Occupational Therapist | 130 Medical Circle, Nashville, AR 71852 | 2008-11-30 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
| Find all providers in zip 71852 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598188 | Megan Trace Bearman | Counselor | 1107 Gartland Ave, Nashville, TN 37206-2746 | 2020-11-03 |
| 1912504689 | Chelsea R Loeffler | Counselor | 1283 Murfreesboro Pike, Nashville, TN 37217-2432 | 2020-10-06 |
| 1699389601 | George Mack IIi | Counselor | 317 18th Ave N Ste 200, Nashville, TN 37203-2253 | 2020-09-07 |
| 1659985901 | Rose Crouch | Counselor | 4888 Torbay Dr, Nashville, TN 37211-4806 | 2020-09-03 |
| 1285245027 | Kimberly Ann Koon | Counselor | 49 Music Sq E, Nashville, TN 37203-4324 | 2020-08-14 |
| 1164031001 | Lauren Lewallen | Counselor | 4515 Harding Pike Ste 111, Nashville, TN 37205-2118 | 2020-07-27 |
| 1457979262 | Ariel Brooke Adams | Counselor | 1901 Meridian St Apt B, Nashville, TN 37207-5264 | 2020-07-08 |
| 1174159396 | Roxanne Pennington | Counselor | 610 Murfreesboro Pike, Nashville, TN 37210-3512 | 2020-03-19 |
| 1225662083 | Eden Eman Counseling & Consulting, LLC | Counselor | 4235 Hillsboro Pike Ste 333, Nashville, TN 37215-3344 | 2020-03-02 |
| 1679107676 | Mary Amanda Capers | Counselor | 100 Taylor St Ste C4, Nashville, TN 37208-1748 | 2020-02-27 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on DEBORAH WALLIS.
| 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.