VALLEY BEHAVIORAL HEALTH SYSTEM, LLC (NPI# 1104884006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104884006 |
| Entity Type | Organization |
| Organization Name | VALLEY BEHAVIORAL HEALTH SYSTEM, LLC |
| Other Organization Name | VALLEY BEHAVIORAL HEALTH |
| Practice Address |
10301 Mayo Dr Barling AR 72923-1660 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 4794945700 |
| Practice Fax Number | 4794945777 |
| Mailing Telephone | 6158616000 |
| Mailing Fax Number | 6152619685 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | MR. CHRISTOPHER L. HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | AR4151 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS | 14006 | 01 |
| AR | QUALCHOICE QCA | 75288888030 | 01 |
| OK | 200012010B | 05 | |
| AR | 150096125 | 05 |
| Other Name | Type Code |
|---|---|
| Texarkana Behavioral Associates, LC. | Former Legal Business Name - Organization |
| Valley Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1033477823 | Valley Behavioral Health System, LLC | Clinic/Center | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-04-30 |
| 1528325651 | Valley Behavioral Health System, LLC | Clinic/Center | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-04-13 |
| Street Address |
10301 MAYO DR |
| City | BARLING |
| State | AR |
| Zip Code | 72923-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034547 | Terrell P Bishop | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2005-09-22 |
| 1124630223 | Alexandra Tiffany Essid | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2020-08-19 |
| 1750942215 | Kelley Danielle Hale | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2019-06-25 |
| 1740762905 | Kally Marie Elizabeth Sivage | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2018-09-04 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1629478946 | Lisa G Brock | Counselor | 10301 Mayo Dr, Barling, AR 72923-1660 | 2014-08-25 |
| 1124466701 | Phomakay Primary Care Pa | Family Medicine | 10301 Mayo Dr, Barling, AR 72923-1660 | 2013-06-05 |
| 1154674661 | Saige E Small | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-10-22 |
| 1811242233 | Savannah Keeter | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-07-23 |
| 1922369495 | James Vitale | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
| 1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
| 1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
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| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
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|---|---|---|---|---|
| 1275801706 | University of Arkansas for Medical Sciences | Psychiatric Hospital | 4224 Shuffield Drive, Little Rock, AR 72205 | 2011-12-12 |
| 1790925972 | Uhs of Springwoods LLC | Psychiatric Hospital | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2009-02-27 |
| 1194749408 | Jan Greer Sullivan | Psychiatric Hospital | 2200 Fort Roots Dr Bldg 58, North Little Rock, AR 72114-1709 | 2006-07-27 |
| 1669428785 | Living Hope Southwest Medical Services, LLC | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-05-26 |
| 1962473306 | The Bridgeway, LLC | Psychiatric Hospital | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-02-01 |
| 1063482735 | Uhs of Benton, LLC | Psychiatric Hospital | 100 Rivendell Dr, Benton, AR 72015-9188 | 2006-01-25 |
| 1295726156 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4096 | 2005-10-31 |
| 1063415800 | United Methodist Behavioral Health System, Inc | Psychiatric Hospital | 1601 Murphy Drive, Maumelle, AR 72113 | 2005-05-24 |
| 1265435002 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2005-05-24 |
| 1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
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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.