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Contact Information

TRINIA SURRATT
620 S LAUREL ST
PINE BLUFF, AR71601
 Phone: 870-534-4900
 Fax: 870-534-4906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TRINIA SURRATT · (Female)

NPI # 1538518816
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2016
Last updated 07/09/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AR Medicaid 116378726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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