Suzanne Thomasson Pipkin, LPC,LPE,LPA

Individual provider Active NPI Mental Health Counselor · Fouke, AR

NPI 1003949801 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1003949801
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P0504029 (AR)
Practice address
17749 Highway 196
Fouke, AR 71837-9544
Phone
(870) 653-2766
Fax
(870) 653-2766
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
P0504029ARMDMental Health Counselor
14053TXMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14053 TX
Mental Health Counselor 101YM0800X P0504029 AR Yes

Addresses

Primary practice location

17749 Highway 196
Fouke, AR 71837-9544

Mailing address

17749 Highway 196
Fouke, AR 71837-9544
Phone (870) 653-2766

Other providers in Fouke, AR

All providers in Fouke, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.