Provider Demographics
NPI:1598021776
Name:RINEHARY, MONICA JADE (MHPP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:JADE
Last Name:RINEHARY
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:JADE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHPP
Mailing Address - Street 1:823 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2914
Mailing Address - Country:US
Mailing Address - Phone:870-741-2960
Mailing Address - Fax:870-741-2965
Practice Address - Street 1:823 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2914
Practice Address - Country:US
Practice Address - Phone:870-741-2960
Practice Address - Fax:870-741-2965
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator