MAXUS (NPI# 1912022096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912022096 |
| Entity Type | Organization |
| Organization Name | MAXUS |
| Practice Address |
1100 Bob Courtway Dr Suite 9 Conway AR 72032-4766 |
| Mailing Address |
1033 Old Burr Rd Warm Springs AR 72478-9077 |
| Practice Telephone | 5013285525 |
| Practice Fax Number | 5013285342 |
| Mailing Telephone | 8706472541 |
| Mailing Fax Number | 8706472145 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TED SHUL (CEO) |
| Authorized Official Telephone | 8706472541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
========= | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760507966 | Maxus | Counselor | 705 Meador Dr, Dumas, AR 71639-2826 | 2007-03-20 |
| 1437274438 | Maxus | Counselor | 2895 State Highway 77 S, Suite 4, Marion, AR 72364-2361 | 2007-03-20 |
| 1689798993 | Maxus | Counselor | 132 W 2nd St, Malvern, AR 72104-3708 | 2007-03-19 |
| 1003931189 | Maxus | Counselor | 3009 Turman Dr, Suite A, Jonesboro, AR 72404-8998 | 2007-03-20 |
| 1578688503 | Maxus | Counselor | 100 N Rockingchair Rd, Suites 1-3, Paragould, AR 72450-2413 | 2007-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MAXUS CAPITAL GROUP, LLC | 959 West Saint Clair Avenue, Ste 200, Cleveland, Ohio 44113 |
| Oklahoma Business Registrations | MAXUS CAPITAL GROUP, LLC | 31300 Bainbridge Rd, Cleveland, OH 44139 |
| New York State Corporations | MAXUS CAPITAL SPE I, LLC | 31300 Bainbridge Road, Cleveland, Oh 44139 |
| Oregon Corporations, Companies and Business Names | MAXUS DENTAL | 20285 Sw Tualatin Valley Highway, Aloha, OR 97003 |
| Oregon Corporations, Companies and Business Names | MAXUS DENTAL CARE INCORPORATED | 20285 Sw Tualatin Valley Hwy, Aloha, OR 97003 |
| Colorado Business Entities | MAXUS ENERGY CORPORATION | 717 N Harwood St, Dallas, TX 75201 |
| Massachusetts Corporations | MAXUS ENERGY TRADING COMPANY | 2001 Ross Avenue, Dallas, TX 75201 |
| North Carolina Corporations | Maxus Energy Trading Company | 327 Hillsborough St, Raleigh, NC 27603 |
| Colorado Business Entities | Maxus Excavating, LLC | 13395 Voyager Pkwy, 130-154, Colorado Springs, CO 80921 |
| Oklahoma Business Registrations | MAXUS GAS MARKETING COMPANY | Maxus, 717 N. Harwood St., Dallas, TX 75201 |
| Street Address |
1100 BOB COURTWAY DR SUITE 9 |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972918084 | Nakeia Guiden | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2014-06-26 |
| 1679988786 | Darryl Foster | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Conway, AR 72032-4766 | 2014-06-26 |
| 1568886828 | Mary Dorsey | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2014-02-06 |
| 1417388307 | Harriella Alcorn Wright | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 100, Conway, AR 72032-4766 | 2013-12-03 |
| 1932536471 | Amir Rostampout | Counselor | 1100 Bob Courtway Dr, Conway, AR 72032-4766 | 2013-09-30 |
| 1225478431 | Jordan Bullock | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2013-07-02 |
| 1083966204 | Amber Michelle Glover | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2012-10-11 |
| 1134471311 | Francesca Manette Henderson | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite9, Conway, AR 72032-4766 | 2012-10-11 |
| 1023373149 | Aaron J Hamister | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2012-07-05 |
| 1760745814 | Jacqueline Denise Trammel | Case Manager/Care Coordinator | 1100 Bob Courtway Dr, Suite 9, Conway, AR 72032-4766 | 2012-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1285261131 | Mary Hutson | Counselor | 766 Harkrider St, Conway, AR 72032-4401 | 2020-03-23 |
| 1679045314 | Dawnavese Sadler | Counselor | 1227 16th Ave # 179, Conway, SC 29526-3483 | 2018-12-19 |
| 1942742259 | Patricia Bradley | Counselor | 2501 Dave Ward Dr, Suite A5, Conway, AR 72034-6091 | 2016-11-17 |
| 1043661135 | Kevin Nathaniel Phelps Spurgers | Counselor | 740 S Salem Rd Ste 106, Conway, AR 72034-5520 | 2016-06-29 |
| 1316322324 | Susanna Lorraine Aich | Counselor | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2015-07-21 |
| 1922498807 | Alex Schluterman | Counselor | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-01-29 |
| 1639587470 | Johari Family Services, LLC | Counselor | 800 Legion St, Suite 100-c, Conway, SC 29526-4825 | 2014-07-24 |
| 1407190200 | Melissa Lynn Lewis | Counselor | 1765 Arden Ln, Conway, AR 72034-3550 | 2012-11-16 |
| Find all providers in CONWAY | ||||
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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.