RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR (NPI# 1851405468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851405468 |
| Entity Type | Organization |
| Organization Name | RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR |
| Practice Address |
1405 N Pierce St Suite 101 Little Rock AR 72207-5349 |
| Mailing Address |
100 Rivendell Dr Benton AR 72015-9188 |
| Practice Telephone | 5016032147 |
| Practice Fax Number | 5016030324 |
| Mailing Telephone | 5013161255 |
| Mailing Fax Number | 5017940908 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LISA ELIZABETH LEWIS (THERAPIST) |
| Authorized Official Telephone | 5016032147 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1382-C | AR | Ambulatory Health Care Facilities |
| Street Address |
1405 N PIERCE ST SUITE 101 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649224221 | Lori Lamitina, D.c., P.a. | Chiropractor | 1405 N Pierce St, Suite 210, Little Rock, AR 72207-5349 | 2006-05-19 |
| 1609255413 | Smith Counseling Services, Inc. | Social Worker | 1405 N Pierce St, Suite 212, Little Rock, AR 72207-5349 | 2015-05-26 |
| 1518257583 | Brittny N Walker | Behavioral Analyst | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2011-04-12 |
| 1487800082 | Jameshia A Braxton | Social Worker | 1405 N Pierce St, Ste 101, Little Rock, AR 72207-5349 | 2008-08-14 |
| 1144394834 | Uhs of Benton, Inc. | Clinic/Center | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-11-17 |
| 1700977741 | Lisa Elizabeth Lewis | Social Worker | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-09-27 |
| 1144321407 | Nedra Gail Leeks | Counselor | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-09-26 |
| 1194839712 | John W Norris | Social Worker | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861997165 | Passion Unlimited, LLC | Clinic/Center | 16609 Cantrell Rd Ste 14, Little Rock, AR 72223-4828 | 2018-03-28 |
| 1952576654 | Unique Counseling Clinic Inc | Clinic/Center | 7101 W 12th St, Suite 303, Little Rock, AR 72204-2404 | 2008-04-24 |
| 1184679060 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 6100 Patterson Rd, Little Rock, AR 72209-2430 | 2006-05-23 |
| 1851886352 | Little Rock Community Mental Health Center | Clinic/Center | 1100 N. University, Little Rock, AR 72205 | 2018-06-27 |
| 1124483367 | Arkansas Relationship Counseling | Clinic/Center | 4 Shackleford Plz, Ste 202, Little Rock, AR 72211-1826 | 2015-12-14 |
| 1871968693 | Deen Psychological Services LLC | Clinic/Center | 2723 Foxcroft Rd, Suite 320b, Little Rock, AR 72227-2455 | 2015-12-04 |
| 1609241454 | Rose Smith Psychology Pllc | Clinic/Center | 2723 Foxcroft Rd, Suite 311a, Little Rock, AR 72227-2455 | 2015-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR.
| 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.