SAFE HARBOR BEHAVIORAL HEALTH PLLC (NPI# 1538767462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538767462 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR BEHAVIORAL HEALTH PLLC |
| Practice Address |
11401 N Rodney Parham Rd Ste 4 Little Rock AR 72212-4168 |
| Mailing Address |
Po Box 24008 Little Rock AR 72221-4008 |
| Practice Telephone | 5012239948 |
| Mailing Telephone | 5012239948 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JILL CULLEN (BILLING MANAGER) |
| Authorized Official Telephone | 5012239948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11401 N RODNEY PARHAM RD STE 4 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1912473125 | Christopher Lucas Stone | Nurse Practitioner | 133 Booker St, Little Rock, AR 72205-5813 | 2018-10-16 |
| 1861843831 | Chloe Ward | Nurse Practitioner | 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 | 2016-06-30 |
| 1407226327 | Connie Brown | Nurse Practitioner | 2504 Stephanie Dr, Little Rock, AR 72206-5418 | 2015-10-05 |
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1831717115 | Martha Marie Shaw | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-13 |
| 1790311314 | Angela Michaela Holyfield | Nurse Practitioner | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-03-15 |
| 1780215640 | Amanda Cabaniss Rogers | Nurse Practitioner | 6 Emerald Ct, Little Rock, AR 72212-2107 | 2020-01-30 |
| 1497385009 | Cara Jane Meckfessel | Nurse Practitioner | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2020-01-22 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on SAFE HARBOR BEHAVIORAL HEALTH PLLC.
| 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.