Mrs Kellye Gautier, LPC in Bentonville, AR - Counselor

Mrs Kellye Gautier, LPC is a Counselor - Professional based in Bentonville, Arkansas. Mrs Kellye Gautier is licensed to practice in Arkansas (license number P1810135) and her current practice location is 2003 Se Walton Blvd, Bentonville, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 725-6000.

NPI number for Mrs Kellye Gautier is 1104272616 and her current mailing address is 2400 S 48th St, Springdale, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104272616.

Contact Information

	Mrs Kellye Gautier, LPC
	2003 Se Walton Blvd, Bentonville, AR 72712-3725
	(479) 725-6000
	(479) 750-4843

Healthcare Provider's Profile

Full Name	Mrs Kellye Gautier
Gender	Female
Speciality	Counselor - Professional
Location	2003 Se Walton Blvd, Bentonville, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1104272616
Provider Enumeration Date: 05/13/2016
Last Update Date: 10/17/2018

Medical Identifiers

Medical identifiers for Mrs Kellye Gautier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104272616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	F1411018 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P1810135 (Arkansas)	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. Mrs Kellye Gautier 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 Address	Practice Location Address
Mrs Kellye Gautier, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Mrs Kellye Gautier, LPC 2003 Se Walton Blvd, Bentonville, AR 72712-3725 Ph: (479) 725-6000

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Counselor in Bentonville, AR

Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110
Melissa A Endicott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060

Mrs Kellye Gautier, LPC - Counselor in Bentonville, AR