MIDSOUTH BEHAVIOR CLINIC (NPI# 1750751434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750751434 |
Entity Type | Organization |
Organization Name | MIDSOUTH BEHAVIOR CLINIC |
Practice Address |
12482 Magnolia Bend Dr Arlington TN 38002-7046 |
Practice Telephone | 9014970384 |
Practice Fax Number | 8668236014 |
Mailing Telephone | 9014970384 |
Mailing Fax Number | 8668236014 |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |
Authorized Official Name | MR. BRANDON ELLIS MCCORD (BEHAVIOR ANALYST) |
Authorized Official Telephone | 9014970384 |
Authorized Official Credential | M.S., BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 2500733 | 05 |
Street Address |
12482 MAGNOLIA BEND DR |
City | ARLINGTON |
State | TN |
Zip Code | 38002-7046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
Find all providers in zip 38002 |
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 |
---|---|---|---|---|
1033609136 | Roderick Duffey | Community/Behavioral Health | 2123 Ballycastle Dr, Arlington, TX 76017-4512 | 2018-05-14 |
1386145548 | Center for Theraputic Change | Community/Behavioral Health | 1101 W Randol Mill Rd, Arlington, TX 76012-2515 | 2018-02-23 |
1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
1427507722 | Azra Grudic Consulting and Counseling | Community/Behavioral Health | 3617 186th Pl Ne # 4a, Arlington, WA 98223-7928 | 2016-09-27 |
1578018073 | Arise Behavioral Health | Community/Behavioral Health | 1172 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-08-25 |
1306202411 | North Texas Community Initiative, Inc. | Community/Behavioral Health | 5811 Gloucester Ct, Suite 101, Arlington, TX 76018-2384 | 2016-01-05 |
1891168605 | Learning and Behavior | Community/Behavioral Health | 2023 21st St N Apt 25, Arlington, VA 22201-3650 | 2015-11-03 |
1700276375 | Epiphany Counseling Services | Community/Behavioral Health | 901 W Bardin Rd Ste 308, Arlington, TX 76017-6029 | 2015-02-03 |
1497169643 | Precious J and J Counseling and Associates | Community/Behavioral Health | 1619 W Division St, Suite E, Arlington, TX 76012-3832 | 2014-06-16 |
1104254002 | Etho Todd Pugh Sr. | Community/Behavioral Health | 1904 Roselle Ct, Arlington, TX 76018-2590 | 2013-10-31 |
Find all providers in ARLINGTON |
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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.