ARKANSAS ADULT PSYCHOTHERAPY CENTER, PLLC (NPI# 1669853081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669853081 |
| Entity Type | Organization |
| Organization Name | ARKANSAS ADULT PSYCHOTHERAPY CENTER, PLLC |
| Practice Address |
5401 Jfk Suite G North Little Rock AR 72116-6756 |
| Mailing Address |
5401 Jfk Blvd Suite G North Little Rock AR 72116-6756 |
| Practice Telephone | 5017714693 |
| Practice Fax Number | 5017714885 |
| Mailing Telephone | 5017589993 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-07-27 |
| Authorized Official Name | TRACYE B ENIS (BILLING AGENT) |
| Authorized Official Telephone | 5017714693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 JFK SUITE G |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942422621 | Billy D Vaden | Dentist | 5401 Jfk, Suite H, North Little Rock, AR 72116 | 2007-05-03 |
| 1346472941 | Dahlia Distin | Nurse Practitioner | 5401 Jfk, North Little Rock, AR 72116-6756 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982700639 | Katherine Malinda Barger | Clinical Nurse Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-09-16 |
| 1386651594 | Margaret Ann Anderson | Clinical Nurse Specialist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540851 | Stanley Chima | Clinical Nurse Specialist | 3001 Gemstone Cv, Sherwood, AR 72120-4273 | 2020-08-24 |
| 1942395330 | Lisabeth Hoffman | Clinical Nurse Specialist | 1716 West Searcy Street, Heber Springs, AR 72543 | 2006-10-03 |
| 1639198229 | Sherry Armstrong | Clinical Nurse Specialist | 490 Broadmoor Dr, Brinkley, AR 72021-2057 | 2006-07-18 |
| 1427048677 | Sherri G. Parks | Clinical Nurse Specialist | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2005-10-27 |
| 1366882417 | Carol D Campbell Inc | Clinical Nurse Specialist | 211 W High St, Sheridan, AR 72150-2118 | 2013-07-02 |
| 1952642050 | North Arkansas Regional Medical Center | Clinical Nurse Specialist | 620 N Main St, Harrison, AR 72601-2911 | 2013-03-14 |
| 1003060203 | Martha Jo Mckinney | Clinical Nurse Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2008-11-14 |
| 1174679377 | Melanie Jean Sterling | Clinical Nurse Specialist | 2796 S 2nd St Ste E, Cabot, AR 72023-7043 | 2007-01-28 |
| 1568414191 | Andrew B. Sieff | Clinical Nurse Specialist | 111 E Davidson St, Fayetteville, AR 72701-3413 | 2006-05-16 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on ARKANSAS ADULT PSYCHOTHERAPY CENTER, 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.