DR. TRESVIL GERARD PACK (NPI# 1831494905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831494905 |
| Entity Type | Individual |
| Full Name | DR. TRESVIL GERARD PACK |
| Credential | PH.D., CRC, LPC |
| Practice Address |
930 Wingate St Ste D2 Conway AR 72034-4837 |
| Mailing Address |
Po Box 11770 Conway AR 72034-0031 |
| Practice Telephone | 5014998699 |
| Mailing Telephone | 5014998699 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2012-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1101006 | AR | Behavioral Health & Social Service Providers |
| Street Address |
930 WINGATE ST STE D2 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194076737 | Rehabilitation & Counseling Consultants | Counselor | 930 Wingate St Ste D2, Conway, AR 72034-4837 | 2012-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257701 | Casondra R Robinson | Counselor | 1720 Simms St, Conway, AR 72034-6416 | 2018-06-04 |
| 1316461510 | Renew Counseling | Counselor | 1237 Front St, Conway, AR 72032-4101 | 2017-07-29 |
| 1720515638 | Poindexter Counseling LLC | Counselor | 800 Legion St Ste 200b, Conway, SC 29526-4825 | 2017-05-23 |
| 1528489192 | Scott K Grainger | Counselor | 105 Hampton Ridge Rd, Conway, SC 29527-3975 | 2013-12-26 |
| 1194158394 | Alan J Hahn | Counselor | 1308 Oak St Unit A, Conway, AR 72034-5339 | 2013-08-12 |
| 1245570845 | Lynn Smith Hucks | Counselor | 6720 Elbow Rd, Conway, SC 29527-6471 | 2013-02-20 |
| 1124239538 | Wendy J Blackwood | Counselor | 1422 Caldwell St, Conway, AR 72034-5319 | 2007-05-25 |
| 1770608598 | Lydia Willingham | Counselor | 1119 3rd Ave, Conway, SC 29526-5135 | 2007-03-20 |
| 1942300975 | Phyllis Jordan Stalvey | Counselor | 400 Laurel St, Conway, SC 29526-4317 | 2006-09-22 |
| 1548362353 | Robert Scott Smittle | Counselor | 1125 Oak St, Suite 201, Conway, AR 72032-4317 | 2006-09-02 |
| Find all providers in CONWAY | ||||
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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.