Healthcare Provider Details

I. General information

NPI: 1427129956
Provider Name (Legal Business Name): JANICE JONES SUSKEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 HAYES ST
HASKELL AR
72015-8960
US

IV. Provider business mailing address

116 HAYES ST
HASKELL AR
72015-8960
US

V. Phone/Fax

Practice location:
  • Phone: 386-801-2595
  • Fax:
Mailing address:
  • Phone: 386-801-2595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: