Suzanna Mullenneaux, LMHC | |
301 W Burlington, Fairfield, IA 52556-3242 | |
(641) 472-5771 | |
(641) 472-1817 |
Full Name | Suzanna Mullenneaux |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 301 W Burlington, Fairfield, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134215197 | NPI | - | NPPES |
107314000 | Other | IA | IOWA PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 00968 (Iowa) | Primary |
Entity Name | Optimae Lifeservices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184898470 PECOS PAC ID: 8022912211 Enrollment ID: O20031120000270 |
Mailing Address | Practice Location Address |
---|---|
Suzanna Mullenneaux, LMHC 301 W Burlington, Fairfield, IA 52556-3242 Ph: (641) 472-1684 | Suzanna Mullenneaux, LMHC 301 W Burlington, Fairfield, IA 52556-3242 Ph: (641) 472-5771 |
Mrs. Heidi Suzanne Winn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 N 3rd St Ste 13, Fairfield, IA 52556 Phone: 641-919-6232 | |
Sara Jones, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 E Adams Ave, Fairfield, IA 52556 Phone: 319-293-3635 | |
Amber Dressler, Counselor Medicare: Medicare Enrolled Practice Location: 503 E Jefferson Ave, Fairfield, IA 52556 Phone: 888-870-1775 | |
Ms. Teresa Ann Pappas, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 301 W Burlington, Fairfield, IA 52556 Phone: 808-494-9540 Fax: 808-885-0716 | |
Douglas John Buttikofer, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 607 W Broadway Ave, Suite 111 Unit 41, Fairfield, IA 52556 Phone: 641-919-0647 | |
Michael W. Champ, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W Lowe Ave, Suite 108, Fairfield, IA 52556 Phone: 641-233-8332 |