MID STATE COUNSELING AND RECOVERY SERVICE (NPI# 1316432966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316432966 |
| Entity Type | Organization |
| Organization Name | MID STATE COUNSELING AND RECOVERY SERVICE |
| Practice Address |
1920 Main St Ste 229 North Little Rock AR 72114 |
| Mailing Address |
1920 Main St Ste 229 North Little Rock AR 72114-2875 |
| Practice Telephone | 5014138977 |
| Practice Fax Number | 5012464407 |
| Mailing Telephone | 5014138977 |
| Mailing Fax Number | 5012464407 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | MRS. DEON L AARON (CEO) |
| Authorized Official Telephone | 5014138977 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
3000-C | AR | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
3000-C | AR | Ambulatory Health Care Facilities |
| Street Address |
1920 MAIN ST STE 229 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| 1902012297 | Lee Overall | Kinesiotherapist | 2200 Ft Roots Rd, Little Rock, AR 72114 | 2007-05-15 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656099 | Life Strategies Counseling, Inc. | Clinic/Center | 112 N Bettis St, Pocahontas, AR 72455-3301 | 2020-10-15 |
| 1932706918 | Village Counseling LLC | Clinic/Center | 13 Belleza Way, Hot Springs Village, AR 71909-7911 | 2020-10-03 |
| 1487205357 | Central Arkansas Psychological Services | Clinic/Center | 523 N University Ave, Little Rock, AR 72205-2916 | 2019-09-23 |
| 1548723547 | Christa Means Counseling Services | Clinic/Center | 1800 Hendricks Blvd, Fort Smith, AR 72903-3414 | 2019-04-08 |
| 1992289268 | Cassandra Warden Corporation | Clinic/Center | 721 Norma Ln, Ozark, AR 72949-4126 | 2018-09-21 |
| 1134606304 | Pace Psychotherapy | Clinic/Center | 1605 N Fillmore St, Little Rock, AR 72207-5343 | 2018-07-20 |
| 1659863967 | Rising Lotus Therapy Services, Pllc | Clinic/Center | 1401 Malvern Ave Ste 200a, Hot Springs, AR 71901-6371 | 2018-06-01 |
| 1215444963 | Souls Harbor of Rogers Inc. | Clinic/Center | 1206 N 2nd St, Rogers, AR 72756-2836 | 2018-01-03 |
| 1538674932 | Pathways Counseling, Pllc | Clinic/Center | 5540 Lexington Ave, Benton, AR 72019-1834 | 2017-12-06 |
| 1306374350 | Sarah Elizabeth Gibson | Clinic/Center | 172 Longview Cir, Searcy, AR 72143-9215 | 2017-06-02 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on MID STATE COUNSELING AND RECOVERY SERVICE.
| 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.