Mr Adam Daniel Laster, CASEMANGER | |
301 Boundary St, Magnolia, AR 71753-3305 | |
(870) 234-2600 | |
(870) 234-2606 |
Full Name | Mr Adam Daniel Laster |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 301 Boundary St, Magnolia, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558655654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Arkansas) | Primary |
Entity Name | South Arkansas Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467423384 PECOS PAC ID: 0941199988 Enrollment ID: O20040315001172 |
Mailing Address | Practice Location Address |
---|---|
Mr Adam Daniel Laster, CASEMANGER 301 Boundary St, Magnolia, AR 71753-3305 Ph: (870) 234-2600 | Mr Adam Daniel Laster, CASEMANGER 301 Boundary St, Magnolia, AR 71753-3305 Ph: (870) 234-2600 |
Ms. Cassandra Castaneda, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Lelia St. Wing B, Office #4, Magnolia, AR 71753 Phone: 870-340-2636 | |
Ellana Stuart, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Ms. Alaina Atkinson-murphy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1705 E North St, Magnolia, AR 71753 Phone: 870-562-2935 Fax: 866-735-3194 | |
Johnny Knighten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Ricodaro Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Toni Marie Hagins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Cheryl Goodheart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Pecan Ave, Magnolia, AR 71753 Phone: 870-234-0739 |