| Mr Adam Daniel Laster, CASEMANGER | |
|
301 Boundary St, Magnolia, AR 71753-3305 | |
| (870) 234-2600 | |
| (870) 234-2606 |
| Full Name | Mr Adam Daniel Laster |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 301 Boundary St, Magnolia, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558655654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Arkansas Regional Health Center | 0941199988 | 16 |
| 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 |
|---|---|
| Mr Adam Daniel Laster, CASEMANGER 301 Boundary St, Magnolia, AR 71753-3305 Ph: (870) 234-2600 | Mr Adam Daniel Laster, CASEMANGER 301 Boundary St, Magnolia, AR 71753-3305 Ph: (870) 234-2600 |
Ms. Cassandra Castaneda, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Lelia St. Wing B, Office #4, Magnolia, AR 71753 Phone: 870-340-2636 | |
Ellana Stuart, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Ms. Alaina Atkinson-murphy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1705 E North St, Magnolia, AR 71753 Phone: 870-562-2935 Fax: 866-735-3194 | |
Johnny Knighten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Ricodaro Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Boundary St, Magnolia, AR 71753 Phone: 870-234-2600 Fax: 870-234-2606 | |
Toni Marie Hagins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 E North St, Magnolia, AR 71753 Phone: 870-234-0739 | |
Cheryl Goodheart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Pecan Ave, Magnolia, AR 71753 Phone: 870-234-0739 |