| Letitia Trent, MA | |
|
31 Judah St, Eureka Springs, AR 72632-3642 | |
| (479) 685-4088 | |
| Not Available |
| Full Name | Letitia Trent |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 31 Judah St, Eureka Springs, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912375718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2009074 (Arkansas) | Primary |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809001784 |
| Mailing Address | Practice Location Address |
|---|---|
| Letitia Trent, MA 31 Judah St, Eureka Springs, AR 72632-3642 Ph: (796) 854-0884 | Letitia Trent, MA 31 Judah St, Eureka Springs, AR 72632-3642 Ph: (479) 685-4088 |
Dr. Keili Adiyah Lumiere, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 E Van Buren, Suite 149, Eureka Springs, AR 72632 Phone: 509-388-5768 |
Adam Marinus Louderback, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Whispering Pines, Eureka Springs, AR 72632 Phone: 479-750-2020 Fax: 479-750-8967 |
David William Reuter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2580 County Road 3027, Eureka Springs, AR 72632 Phone: 479-253-6917 Fax: 479-253-4991 |