Ms Summer Prado, LPC, LADAC, ICADC | |
115 E Shelton Ave, Monticello, AR 71655-4937 | |
(501) 261-7715 | |
Not Available |
Full Name | Ms Summer Prado |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 115 E Shelton Ave, Monticello, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972749133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P2311011 (Arkansas) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 419-L (Arkansas) | Secondary |
Entity Name | Friends Of Freedom House Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316587850 PECOS PAC ID: 7012357387 Enrollment ID: O20240503000372 |
Mailing Address | Practice Location Address |
---|---|
Ms Summer Prado, LPC, LADAC, ICADC 115 E Shelton Ave, Monticello, AR 71655-4937 Ph: (501) 261-7715 | Ms Summer Prado, LPC, LADAC, ICADC 115 E Shelton Ave, Monticello, AR 71655-4937 Ph: (501) 261-7715 |
Mr. David B Jordan, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Joshua Jackson Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Susan Rena Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Lakeisha Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Julian Lattimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Mrs. Mary Elizabeth Newton, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Highway 278 W, Monticello, AR 71655 Phone: 870-367-2143 Fax: 870-367-2145 | |
Jasmine N Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 583 W Gaines St, Monticello, AR 71655 Phone: 870-367-2143 |