Heather Fowlkes, MHPP
Case Manager/Care Coordinator in Bryant, AR. Individual provider (NPI-1).
NPI number1255622650
StatusActive
Last updated in NPPESOct 13, 2014
Details
- NPI
- 1255622650
- Entity type
- Individual (NPI-1)
- Name
- Heather Fowlkes
- Credential
- MHPP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2011
- Last updated
- Oct 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Other names
- Heather Bloom (Former Name)
Practice location
2213 N Reynolds RdSte 1
Bryant, AR 72022-2533
Phone 501-847-0081 · Fax 501-847-6905
Mailing address
2213 N Reynolds RdSte 1
Bryant, AR 72022-2533
Phone 501-847-0081 · Fax 501-847-6905
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All 11 Case Manager/Care Coordinator providers in Bryant · All 773 providers in Bryant
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