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EBONY LATREACE CHARLESTON QBHP
NPI 1508371865
Case Manager/Care Coordinator in Conway, AR

Active since December 08, 2017
3240 STERMER ROAD, CONWAY, AR 72034(501) 327-1701(501) 329-5508 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2020, Dec 8, 2017 (2 updates tracked since 2017).

About Ebony Latreace Charleston Qbhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY LATREACE CHARLESTON QBHP (NPI 1508371865) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1508371865
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY LATREACE CHARLESTONCredential: QBHP
Location Address3240 STERMER ROADConway, AR 72034
Mailing Address110 Skyline DrRussellville, AR 72801-3362 · (479) 967-5570 · Fax (479) 890-5364
Phone(501) 327-1701
Fax(501) 329-5508
Sole ProprietorNo
Enumeration DateDecember 8, 2017
Last NPPES UpdateJanuary 23, 20202 updates tracked since enumeration
✔ NPI 1508371865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3240 STERMER ROAD, Conway, AR 72034
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Other Names 1

Other Name (5)Ebony L Ford

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA ANNA-CAMILLE STOKES QBHP
Case Manager/Care Coordinator
3240 STERMER ROAD
CONWAY, AR 72034
Faulkner County (501) 327-1701
LYNDSEE MARIE BURLESON QBHP
Case Manager/Care Coordinator
3240 STERMER ROAD
CONWAY, AR 72034
Faulkner County (501) 327-1701
DOMINIQUE DEAJU VINSON QBHP
Case Manager/Care Coordinator
3240 STERMER ROAD
CONWAY, AR 72034
Faulkner County (501) 327-1701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Charleston's NPI number?

The NPI number for Ebony Charleston is 1508371865. It was assigned to this individual provider in the NPPES registry on December 8, 2017. The provider is also known as Ebony L Ford.

Where is Ebony Charleston located?

Ebony Charleston practices at 3240 Stermer Road, Conway, AR 72034. The listed phone number is (501) 327-1701.

What is Ebony Charleston's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ebony Charleston was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.