OZARK GUIDANCE CENTER, INC (NPI# 1568461887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568461887 |
| Entity Type | Organization |
| Organization Name | OZARK GUIDANCE CENTER, INC |
| Practice Address |
2400 S 48th St Springdale AR 72762-6683 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4797504843 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797514346 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | PATRICIA YABLONSKI (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4797255140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | ========= | AR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 114618125 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875186 | Ozark Guidance Center, Inc | Counselor | 2400 S. 48th Street, Springdale, AR 72762 | 2005-07-18 |
| Street Address |
2400 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811136 | Brook Taylor Mattison | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-04 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| 1235742859 | Emily Magee | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-24 |
| 1932710134 | Sara Ruth Nelson | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-11 |
| 1659904548 | Danica Bass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-19 |
| 1922631027 | Katherine Mackenzie Black | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508259169 | Teen Challenge Ranch of Northwest Arkansas | Residential Treatment Facility, Emotionally Disturbed Children | 16818 Hale Mountain Rd, Morrow, AR 72749-9731 | 2015-03-06 |
| 1407089873 | Faribi Mache Hill | Residential Treatment Facility, Emotionally Disturbed Children | 21815 I 30, Bryant, AR 72022-8031 | 2009-09-01 |
| 1912136144 | New Life Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 50 4th St, Oil Trough, AR 72564 | 2009-07-09 |
| 1841448966 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 936 Jordan Drive, Monticell, AR 71657 | 2008-09-03 |
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1275739062 | Delta Family Health and Fitness Center for Children, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 815 E Saint Louis St, Hamburg, AR 71646-2766 | 2007-06-27 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 1477928984 | Kelanda Williams | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on OZARK GUIDANCE CENTER, INC.
| 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.