MEDICARE: MR. ANTIONNE DEWAYNE ALCORN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1275678179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTIONNE DEWAYNE ALCORN LPC

Provider Business Mailing Address
First Line	:	607 N 1ST ST STE 4
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-4142
Country	:	US
Telephone Number	:	501-708-5843
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 N 1ST ST STE 4
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-4142
Country	:	US
Telephone Number	:	501-708-5843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/24/2019

Similar Medicare Providers

1760333462 — TINA SCOTT-JACKSON
Practice Location Address:

607 N 1ST ST STE 1
JACKSONVILLE, AR
72076-4142

Practice Phone: 501-256-5898
Practice Fax:

1083267496 — THRIVE COUNSELING AND CONSULTING SERVICES, LLC
Practice Location Address:

607 N 1ST ST STE 4
JACKSONVILLE, AR
72076-4142

Practice Phone: 501-708-5843
Practice Fax:

1609727064 — GALYNA I DMYTRENKO SLPA
Practice Location Address:

4142 MARKIN DR W
JACKSONVILLE, FL
32277-1526

Practice Phone: 904-655-0864
Practice Fax:

1306871827 — THEODORE JOSEPH PIANO D.P.M.
Practice Location Address:

4142 HANGING MOSS CT
JACKSONVILLE, FL
32257-7658

Practice Phone: 904-292-0665
Practice Fax: 904-292-0665

1366701336 — LEOPARD TRANSPORT INC
Practice Location Address:

1848 NE JACKSONVILLE RD
OCALA, FL
34470-4142

Practice Phone: 352-812-1670
Practice Fax: 352-369-6077

1770995268 — LEOPARD MEDICAL TRANSPORT, LLC
Practice Location Address:

1848 NE JACKSONVILLE RD
OCALA, FL
34470-4142

Practice Phone: 352-732-6484
Practice Fax: 352-369-6077

Directions to “ MR. ANTIONNE DEWAYNE ALCORN LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.