Provider Demographics
NPI:1467605113
Name:HUFFMASTER OKROGLIC, OLA SUSAN (LMSW)
Entity Type:Individual
Prefix:
First Name:OLA SUSAN
Middle Name:
Last Name:HUFFMASTER OKROGLIC
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:OLA
Other - Middle Name:SUSAN
Other - Last Name:HUFFMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 679
Mailing Address - Street 2:100 S. CHEROKEE
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-0679
Mailing Address - Country:US
Mailing Address - Phone:501-354-4589
Mailing Address - Fax:501-354-5410
Practice Address - Street 1:730 BOSTON ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:AR
Practice Address - Zip Code:72833
Practice Address - Country:US
Practice Address - Phone:479-495-5177
Practice Address - Fax:479-495-5187
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2231M101Y00000X
AR2231-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical