LEWIS FLETCHER BRACY (NPI# 1255413936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255413936 |
| Entity Type | Individual |
| Full Name | LEWIS FLETCHER BRACY |
| Credential | PHD |
| Practice Address |
2526 Highway 65 S Clinton AR 72031-6657 |
| Mailing Address |
Po Box 2578 Health Resources of Arkansas Batesville AR 72503-2578 |
| Practice Telephone | 5017454584 |
| Practice Fax Number | 5017455921 |
| Mailing Telephone | 8707938900 |
| Mailing Fax Number | 8707938959 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
70-03P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699907774 | Lewis F Bracy | Counselor | 250 Douglass St Apt 5, San Francisco, CA 94114-2401 | 2009-08-21 |
| Street Address |
2526 HIGHWAY 65 S |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1265068019 | Amy Shaw | Counselor | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2020-03-12 |
| 1235624875 | Clinton Butler, LLC | Durable Medical Equipment & Medical Supplies | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2018-06-26 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1114318532 | Kyle Cotton | Physician Assistant | 2526 Highway 65 S, Clinton, AR 72031 | 2015-02-06 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1184149676 | Achieving Mental Victory, LLC | Psychologist | 8110 Holly Ln, Clinton, MD 20735-3195 | 2017-08-07 |
| 1821462557 | Insideout Psychological Services, LLC | Psychologist | 2811 Pumpkin St, Clinton, MD 20735-1063 | 2015-11-18 |
| 1912378266 | Safe Harbor Christian Counseling | Psychologist | 8040 Woodyard Rd, Clinton, MD 20735-1963 | 2015-10-13 |
| 1194129494 | Total You Integrative Medicine Center | Psychologist | 12103 Windbrook Dr, Clinton, MD 20735-1149 | 2014-10-15 |
| 1497091102 | Malinda Renee Kidd | Psychologist | 9412 Fox Run Dr, Clinton, MD 20735-3049 | 2012-12-27 |
| 1023176633 | Psychological Consultants Pa | Psychologist | 135 Cambridge Cove, Clinton, MS 39056-9655 | 2006-12-05 |
| 1295823912 | David R. Mullen | Psychologist | 606 Northeast Blvd, Clinton, NC 28328-2023 | 2006-10-10 |
| 1386746865 | Maria Anna Channell | Psychologist | 221 Greeley St, Clinton, MA 01510-1029 | 2006-09-03 |
| 1487130019 | Total You Integrative Medicine Center | Psychologist | 9135 Piscataway Rd Ste 410, Clinton, MD 20735-2555 | 2018-07-17 |
| Find all providers in CLINTON | ||||
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| 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.