| Susan Strader, LPC | |
|
809 W Main St Ste C-d, Trumann, AR 72472-2611 | |
| (870) 483-0068 | |
| Not Available |
| Full Name | Susan Strader |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 809 W Main St Ste C-d, Trumann, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477165678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7492 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | P2401013 (Arkansas) | Primary |
| Entity Name | Supportive Psych Care Of Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Strader, LPC 809 W Main St Ste C-d, Trumann, AR 72472-2611 Ph: (870) 483-0068 | Susan Strader, LPC 809 W Main St Ste C-d, Trumann, AR 72472-2611 Ph: (870) 483-0068 |
Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Reginald Chandler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066 | |
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 | |
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 | |
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590 |