WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF MULBERRY (NPI# 1093349730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093349730 |
| Entity Type | Organization |
| Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF MULBERRY |
| Practice Address |
949 N Main St Mulberry AR 72947-8538 |
| Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
| Practice Telephone | 4794526650 |
| Mailing Telephone | 4784526650 |
| Mailing Fax Number | 4794525847 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | AARON L. 'RUSTI' HOLWICK (CEO) |
| Authorized Official Telephone | 4794526650 |
| Authorized Official Credential | LPE-I |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| WACGC-RCF Mulberry | Doing Business As Name - Organization |
| Street Address |
949 N MAIN ST |
| City | MULBERRY |
| State | AR |
| Zip Code | 72947-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1861048332 | Melinda Yowell | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-08-12 |
| 1720546062 | Cassandra Jeffries | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-03-06 |
| 1609387224 | Sheila Nicole Gilbert | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-10-23 |
| 1174045686 | Joshua Harris | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-07-17 |
| 1396273850 | Jerod Johnson | Counselor | 949 N Main St, Mulberry, AR 72947-8538 | 2017-05-30 |
| 1447793518 | April Cristee | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2016-11-22 |
| 1396144812 | Andrew Scott | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-08-20 |
| 1427457944 | Vekensha Tengbeh | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-08-20 |
| 1942616800 | Whitley Mccormic | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053352 | Catherine Lyle Mustain | Physician Assistant | 421 N. Main Street, Mulberry, AR 72947 | 2006-06-19 |
| 1275766909 | River Valley Primary Care Services, Inc. | Clinic/Center | 421 N. Main Street, Mulberry, AR 72947 | 2009-08-28 |
| 1851501217 | Leslie Renee Entrekin | Specialist | 6301 Moon Rd, Mulberry, AR 72947-8359 | 2007-05-23 |
| 1497080030 | Mulberry Pleasant View Bi-county School District | Local Education Agency (LEA) | 1319 N Main St, Mulberry, AR 72947-8542 | 2009-10-15 |
| 1437168424 | Arkansas Rural Kare, Inc. | Clinic/Center | 437 N Main St, Mulberry, AR 72947-8574 | 2006-08-07 |
| 1679563712 | Mulberry Medi-quik Pharmacy,inc. | Pharmacy | 442 N Main St, Mulberry, AR 72947-8574 | 2005-10-27 |
| 1881773216 | Kelli L. Rippy | Family Medicine | 421 North Main, Mulberry, AR 72947-8574 | 2006-11-05 |
| 1326595596 | Sydnie Wilkins | Speech-Language Pathologist | 2609 Mulberry Highway 64 W, Mulberry, AR 72947-8948 | 2016-09-06 |
| 1558763672 | Wal-mart Stores Inc | Pharmacy | 3500 Mulberry Highway 64 W, Mulberry, AR 72947-8952 | 2014-09-19 |
| 1497299044 | Mulberry-pleasant View Bi-county School District | Local Education Agency (LEA) | 424 Alma Ave, Mulberry, AR 72947-8992 | 2016-12-15 |
| Find all providers in zip 72947 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957219 | Behavioral Approaches | Community/Behavioral Health | 5929 Topher Trl, Mulberry, FL 33860-7511 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF MULBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.