MS. ELIZABETH LYNN-MARIE BOUDREAUX (NPI# 1851540934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851540934 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH LYNN-MARIE BOUDREAUX |
| Other Name | MS. BETSY LYNN-MARIE BOUDREAUX |
| Credential | MHPP |
| Practice Address |
1316 Main St Van Buren AR 72956-4557 |
| Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
| Practice Telephone | 4794716892 |
| Practice Fax Number | 4794716859 |
| Mailing Telephone | 4798725580 |
| Mailing Fax Number | 4798725581 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689142960 | Elizabeth Boudreaux | Counselor | 21300 68th Ave W Ste 105, Lynnwood, WA 98036-7310 | 2018-11-05 |
| Street Address |
1316 MAIN ST |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669633905 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 1316 Main St, Van Buren, AR 72956-4557 | 2008-06-19 |
| 1407295660 | Danielle N Minnis | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2013-06-21 |
| 1780023945 | Ryan W Rasmussen | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2013-06-21 |
| 1366880791 | Cheryl L Peters | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2013-06-07 |
| 1598102451 | Anna G Christiansen | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2013-05-31 |
| 1134464282 | Allyce Martin | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2012-11-30 |
| 1033404074 | Amanda Lynn Mitchell | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2011-06-17 |
| 1629372990 | Tameika Shunte Maxwell-rector | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2010-12-30 |
| 1083921670 | Christina Michelle Frunk | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2010-09-03 |
| 1366759953 | Kelli D Price | Counselor | 1316 Main St, Van Buren, AR 72956-4557 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756415 | Dennis Sikes | Counselor | 1316 N 25th St, Van Buren, AR 72956-2998 | 2015-12-28 |
| 1497094833 | Haley Bryant | Counselor | 1403 Hidden Valley St, Van Buren, AR 72956-2125 | 2013-02-05 |
| 1174789580 | Tina M. Reed | Counselor | #4 Southwest Street, Van Buren, MO 63965-0904 | 2008-08-05 |
| 1326248394 | Kimberlee Palmer Barnes | Counselor | 92 Burke Rdg, Van Buren, MO 63965-7198 | 2007-07-18 |
| 1104832153 | Jo Ann Smith | Counselor | 3111 South 70th Street, Van Buren, AR 72956-1944 | 2006-07-31 |
| 1538561972 | The Forging Place | Counselor | 1403 Hidden Valley St, Van Buren, AR 72956-2125 | 2014-09-17 |
| 1477824274 | Andrea Foerster | Counselor | 402 Elsie St., Van Buren, MO 63965 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1760009716 | Serenity and Soul Counseling LLC | Counselor | 1202 Ne Mcclain Rd Ste 2002, Bentonville, AR 72712-3875 | 2020-06-25 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ELIZABETH LYNN-MARIE BOUDREAUX.
| 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.