LIFE TREK, LLC (NPI# 1861925968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861925968 |
| Entity Type | Organization |
| Organization Name | LIFE TREK, LLC |
| Practice Address |
21 Sycamore St Cabot AR 72023-3714 |
| Practice Telephone | 5016175678 |
| Mailing Telephone | 5016175678 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. CATHY LYNN STATON (PSYCHOLOGIST) |
| Authorized Official Telephone | 5016175678 |
| Authorized Official Credential | PH.D., L.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
17-04P | AR | Behavioral Health & Social Service Providers |
| Street Address |
21 SYCAMORE ST |
| City | CABOT |
| State | AR |
| Zip Code | 72023-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043717440 | Insight Psychological Services Pllc | Psychologist | 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 | 2018-04-11 |
| 1457875882 | Glenn Gerald Ryals | Psychologist | 712 W 3rd St Ste 100, Little Rock, AR 72201-2221 | 2017-07-27 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1245590702 | Andrew Douglas Reichert | Psychologist | 3214 Nw Avignon Way, # 2, Bentonville, AR 72712-3916 | 2012-05-17 |
| 1477863504 | Michael Dee Cannon | Psychologist | 9629 Highway 270, Pine Bluff, AR 71602-9493 | 2010-10-07 |
| 1669707832 | Charles C Lampton | Psychologist | 2725 Orchard Hill Rd, Siloam Springs, AR 72761-8340 | 2009-10-06 |
| 1174752364 | Teresa D Henderson | Psychologist | 3117 Polk Road 44, Mena, AR 71953-3891 | 2009-07-08 |
| 1407000516 | Hillary Hunt | Psychologist | 305 South Palm, Little Rock, AR 72205 | 2008-11-17 |
| 1437300761 | Rosemary Burns | Psychologist | 806 E 22nd St, Russellville, AR 72802-6937 | 2008-10-06 |
| 1740437383 | Ladeana Dawn Bell | Psychologist | 1012 Autumn Rd Ste 3, Little Rock, AR 72211-3763 | 2008-08-26 |
| Find all providers with the same taxonomy | ||||
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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.