Johnisha Graham, - Counselor in Lake Village, AR

Johnisha Graham, is a Counselor based in Lake Village, Arkansas. Johnisha Graham is licensed to practice in * (Not Available) (license number ) and her current practice location is 1652 S Highway 65 82, Lake Village, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 464-1060.

NPI number for Johnisha Graham is 1053786855 and her current mailing address is 602 N Walton Blvd, Bentonville, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053786855.

Contact Information

Johnisha Graham,
1652 S Highway 65 82,
Lake Village, AR 71653-1662
(479) 464-1060
Not Available

Healthcare Provider's Profile

Full NameJohnisha Graham
GenderFemale
SpecialityCounselor
Location1652 S Highway 65 82, Lake Village, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053786855
  • Provider Enumeration Date: 12/04/2015
  • Last Update Date: 12/04/2015

Medical Identifiers

Medical identifiers for Johnisha Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053786855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnisha Graham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johnisha Graham,
602 N Walton Blvd,
Bentonville, AR 72712-4576

Ph: (479) 464-1060
Johnisha Graham,
1652 S Highway 65 82,
Lake Village, AR 71653-1662

Ph: (479) 464-1060

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› Verified 9 days ago


Counselor in Lake Village, AR

Mrs. Tequeshia Z Mckoy, AT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Kristina Mcintyre,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 479-464-1060    
Laniece Edwards,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Teresa Rone,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Leatrice Powell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707
Ronicia Johnson Cunningham,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653
Phone: 870-265-3711    Fax: 870-265-3707

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