Michael P Proveaux (NPI# 1457473183, PAC ID# 3678808227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1457473183 |
| PAC ID by PECOS | 3678808227 |
| Professional Enrollment ID | I20190718001325 |
| Full Name | Michael P Proveaux |
| Organization Legal Name | YOUTH HOME INC |
| Address |
10 Corporate Hill Dr Suite 330 Little Rock AR 72205-4528 |
| Phone Number | 5019547470 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4789806431 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 | 5019547470 | YOUTH HOME INC |
| Organization Legal Name | YOUTH HOME INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Mathes | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Elisha M Strayhorn | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Angela G Shy | Psychiatry | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Alan C Johnston | Family Medicine | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Nita M Spann | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Roy Graves | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Judith M Puckett | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Emily K Whitley | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Tullos L Franks Iii | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Veronica M Raney | Psychiatry | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Street Address |
10 CORPORATE HILL DR SUITE 330 |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72205-4528 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Mathes | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Elisha M Strayhorn | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Angela G Shy | Psychiatry | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Alan C Johnston | Family Medicine | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Nita M Spann | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Roy Graves | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Judith M Puckett | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Emily K Whitley | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Tullos L Franks Iii | Clinical Social Worker | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Veronica M Raney | Psychiatry | Youth Home Inc | 10 Corporate Hill Dr, Suite 330, Little Rock, AR 72205-4528 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah Marie Cossey | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Paula J Sargent | Nurse Practitioner | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| David P Dean | General Surgery | Hill Medical Services Pllc | 1 St Vincent Cir, Little Rock, AR 72205 |
| Octavio Herrera-verdugo | Vascular Surgery | 1225 Breckenridge Dr, Suite 110, Little Rock, AR 72205-1565 | |
| Charlotte Chapple | Certified Registered Nurse Anesthetist (crna) | 212 Natural Resources Dr, Little Rock, AR 72205-1573 | |
| William L Rutledge | General Practice | 9712 W Markham St, Little Rock, AR 72205-2124 | |
| Victor B Williams | General Surgery | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| Ralonda Greer | Certified Clinical Nurse Specialist (cns) | Surgical Associates of Arkansas | 9712 W Markham St, Little Rock, AR 72205-2124 |
| James A Washburn | Podiatry | 10020 W Markham St, Little Rock, AR 72205-2130 | |
| Stephen L Clark | Psychologist, Clinical | Living Hope Southeast LLC | 10025 W Markham St, Suite 210, Little Rock, AR 72205-2178 |
| Find all physicians in zip 72205 | |||
| City | LITTLE ROCK |
| Zip Code | 72205 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LITTLE ROCK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Michael P Proveaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.