# SUSAN WHITE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Recovery Services & Consultation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750506945
- **Authorized official:** MS. SUSAN GAYLE WHITE LMSW, CADCIII (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (913) 837-4919

## Contact information

- **Practice address:** 5 S PEORIA ST, SUITE 206, LOUISBURG, KS 66053-4084
- **Practice address phone:** (913) 837-4919
- **Practice address fax:** (913) 837-4923
- **Mailing address:** 5 S PEORIA ST, SUITE 206, LOUISBURG, KS 66053-4084
- **Mailing address phone:** (913) 837-4919
- **Mailing address fax:** (913) 837-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 584 | KS | Yes |

## Other

- **Enumeration date:** 04/15/2007
- **Last updated:** 06/19/2008
