Ms Susan Catherine Smith, LPC | |
3111 S 70th St, Fort Smith, AR 72903-5017 | |
(479) 452-6650 | |
(479) 452-5847 |
Full Name | Ms Susan Catherine Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3111 S 70th St, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962439133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P0206024 (Arkansas) | Primary |
Entity Name | Lumina Revenue Cycle Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154894954 PECOS PAC ID: 0941603922 Enrollment ID: O20210728002446 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Catherine Smith, LPC Po Box 11818, Fort Smith, AR 72917-1818 Ph: (479) 452-6650 | Ms Susan Catherine Smith, LPC 3111 S 70th St, Fort Smith, AR 72903-5017 Ph: (479) 452-6650 |
Kylia Eastman, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3811 Rogers Ave, Fort Smith, AR 72903 Phone: 479-395-1599 | |
Ms. Dinora Morales Reyes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Tochie K Benard, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Julie Rae Moore, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-452-5040 Fax: 479-452-5047 | |
Tabitha Fondren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3900 Armour Ave, Fort Smith, AR 72904 Phone: 479-783-8849 Fax: 479-783-1914 | |
Miss Kylie Nicole Carroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5401 Rogers Ave Ste 201, Fort Smith, AR 72903 Phone: 479-242-4560 Fax: 479-242-4561 | |
Kasey Wilson, ADC, BA, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3113 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 |