Susan Hall, | |
211 Jackson St Sw, Camden, AR 71701-3941 | |
(870) 836-5743 | |
Not Available |
Full Name | Susan Hall |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 211 Jackson St Sw, Camden, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154847325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | P2204006 (Arkansas) | Primary |
Entity Name | South Arkansas Regional Health Center |
---|---|
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 |
---|---|
Susan Hall, 715 N College Ave, El Dorado, AR 71730-4403 Ph: (870) 864-2417 | Susan Hall, 211 Jackson St Sw, Camden, AR 71701-3941 Ph: (870) 836-5743 |
Mrs. Amanda Marie Crisp, LPC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-8881 | |
Gertha Browning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 | |
Tiffany D Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 | |
Ms. Allanna Marie Henton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 | |
Angela Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-8881 | |
M Melinda Mcmahan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Jackson St Sw, Camden, AR 71701 Phone: 870-836-5743 | |
Kanesha Sarnel Hickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Jefferson St Sw, Camden, AR 71701 Phone: 870-836-8888 Fax: 870-836-5545 |