SOUTHWEST ARKANSAS COUNSELING & MENTAL HEALTH CENTER (NPI# 1205104015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205104015 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ARKANSAS COUNSELING & MENTAL HEALTH CENTER |
| Practice Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8707734655 |
| Practice Fax Number | 8707724650 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | DWIGHT SPERRY (CEO) |
| Authorized Official Telephone | 8707734655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2904 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478434 | Sharon C Howard | Psychologist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2005-06-24 |
| 1649893991 | Kaitlyn Renee Yancey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-21 |
| 1417578154 | Carrie Ann James | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-05 |
| 1144857996 | Elizabeth Claire Hardy | Nurse Practitioner | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-23 |
| 1992330435 | Reagen Richburg | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-05 |
| 1396382412 | Symone Autrey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-12-09 |
| 1740826874 | Brandi Diaz Deleon | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-11-25 |
| 1376186700 | Michael V Cao | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-10-17 |
| 1013568948 | Austin Bailey Newkirk | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-23 |
| 1144879404 | Shannon Freeman | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| 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 |
|---|---|---|---|---|
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1477865343 | Alternative Opportunities | Community/Behavioral Health | 4323 Jefferson Street, Texarkana, AR 71854-5762 | 2010-07-08 |
| 1134405145 | Arkansas Treatment Services, Pa | Community/Behavioral Health | 408 Hazel St, Texarkana, AR 71854-5215 | 2011-10-24 |
| 1699066837 | Baggett Social Worker Services Pllc | Community/Behavioral Health | 4096 Summerhill Sq, Texarkana, TX 75503-2730 | 2011-04-21 |
| 1881998243 | Family Advocacy Center | Community/Behavioral Health | 1180 Old Redwater Rd, Texarkana, TX 75501-2253 | 2010-12-28 |
| 1912196379 | Mpb Counseling LLC | Community/Behavioral Health | 4096 Summerhill Sq, Texarkana, TX 75503-2730 | 2007-10-22 |
| 1942495288 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2007-09-10 |
| 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 |
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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.