DEBORAH PRIDEMORE (NPI# 1205292042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205292042 |
| Entity Type | Individual |
| Full Name | DEBORAH PRIDEMORE |
| Credential | LPC, LMFT |
| Practice Address |
28 Kirkcudbright Dr Bella Vista AR 72715-3601 |
| Mailing Address |
Po Box 3251 Bella Vista AR 72715-0251 |
| Practice Telephone | 4154654708 |
| Mailing Telephone | 4154654708 |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1512141 | AR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | M1512013 | AR | Behavioral Health & Social Service Providers |
| Street Address |
28 KIRKCUDBRIGHT DR |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| 1932165982 | Mountaincrest Rehab of Bella Vista, Inc. | Physical Therapist | 1801 Forest Hills Blvd, Ste #205, Bella Vista, AR 72715 | 2006-04-26 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| Find all providers in zip 72715 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558832410 | Jocelyn Peterson | Counselor | 17 Folkingham Ln, Bella Vista, AR 72715-3042 | 2018-12-17 |
| 1467806505 | Marc Paine | Counselor | 5 Tillicoultry Ln, Bella Vista, AR 72715-4732 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
Please comment or provide details below to improve the information on DEBORAH PRIDEMORE.
| 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.