TBA TEXARKANA LLC (NPI# 1104185966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104185966 |
| Entity Type | Organization |
| Organization Name | TBA TEXARKANA LLC |
| Other Organization Name | VISTA HEALTH TEXARKANA (PRESCOTT RSPMI) |
| Practice Address |
1484 W 1st St N Prescott AR 71857-3339 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 8708871078 |
| Practice Fax Number | 8708870281 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | KYLE NAPLES (CEO) |
| Authorized Official Telephone | 4795211427 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMICARE BEHAVIORAL CENTERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| VISTA HEALTH TEXARKANA (PRESCOTT RSPMI) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477813012 | Tba Texarkana LLC | Psychiatry & Neurology | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-16 |
| 1336408301 | Tba Texarkana LLC | Day Training, Developmentally Disabled Services | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2012-05-11 |
| Street Address |
1484 W 1ST ST N |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922120765 | Oliver Marc Scroggins | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-04-04 |
| 1598313686 | Emma Elaine Bissell | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2019-08-31 |
| 1164908034 | Deonna Lee Whatley | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2018-07-13 |
| 1497122113 | Daphne Lambert | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2015-08-28 |
| 1144697301 | Carol G Underwood | Nurse Practitioner | 1484 W 1st St N, Prescott, AR 71857-3339 | 2015-08-24 |
| 1477813012 | Tba Texarkana LLC | Psychiatry & Neurology | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-05-16 |
| 1700159415 | Heather Rowe | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2012-02-13 |
| 1144511809 | James M Riley | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2011-04-28 |
| 1184955007 | Joshua Griffin | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2010-01-15 |
| 1417107699 | Wendy Rochell Muldrew | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511557 | South Arkansas Regional Health Center | Clinic/Center | 223 E Elm St, Prescott, AR 71857-2148 | 2019-11-04 |
| 1205163938 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 600 W Gurley St Fl 2, Prescott, AZ 86305-3655 | 2009-11-18 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1821454505 | Prescott Healthcare Solutions LLC | Clinic/Center | 743 Miller Valley Rd, Prescott, AZ 86301-1813 | 2016-01-11 |
| 1861892101 | True Accountability, LLC | Clinic/Center | 637 W Hillside Ave, Suite A, Prescott, AZ 86301-1909 | 2014-08-22 |
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| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
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| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
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| 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.