Healthcare Provider Details

I. General information

NPI: 1154271104
Provider Name (Legal Business Name): SUE M FUHRMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MISSOURI
HELENA AR
72342-3707
US

IV. Provider business mailing address

507 N 5TH ST
GILLETT AR
72055-9764
US

V. Phone/Fax

Practice location:
  • Phone: 208-943-4265
  • Fax: 870-558-5479
Mailing address:
  • Phone: 280-943-4265
  • Fax: 870-558-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: