WILBUR D. MILLS TREATMENT CENTER (NPI# 1932234960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932234960 |
| Entity Type | Organization |
| Organization Name | WILBUR D. MILLS TREATMENT CENTER |
| Practice Address |
3204 E Moore Ave Searcy AR 72143-4826 |
| Practice Telephone | 5012687777 |
| Practice Fax Number | 5013055009 |
| Mailing Telephone | 5012687777 |
| Mailing Fax Number | 5013055009 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | JIM CLARK (DIRECTOR) |
| Authorized Official Telephone | 5012687777 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH RESOURCES OF ARKANSAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | AR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD ID | 10562 | 01 |
| Street Address |
3204 E MOORE AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1477953271 | Preferred Family Healthcare Inc | Community/Behavioral Health | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2014-08-28 |
| 1609201110 | Alyssa Dawn Stark | Specialist | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-09-04 |
| 1821423328 | Estrellita Jasmin Goss | Specialist | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-09-04 |
| 1437581543 | Samantha Yvonne Smith | Licensed Practical Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-31 |
| 1639511561 | Derek Chase | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-19 |
| 1043651201 | Lavonda Peters | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-16 |
| 1992146690 | Steven Erchien | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-07-10 |
| 1376989970 | Tina Renee Hicks | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2013-05-22 |
| 1801131560 | Jacqueline Henderson | Counselor | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1255971610 | Nsrc Oakgrove LLC | Substance Abuse Rehabilitation Facility | 10025 Oakland Dr, North Little Rock, AR 72118-1942 | 2020-01-13 |
| 1295385359 | Atlas Healthcare Associates, LLC | Substance Abuse Rehabilitation Facility | 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 | 2019-09-19 |
| 1609429778 | Coatc LLC | Substance Abuse Rehabilitation Facility | 1807 E Lawson Rd, Little Rock, AR 72210-5012 | 2019-07-18 |
| 1730640558 | Teen Challenge Women's Ministries | Substance Abuse Rehabilitation Facility | 618 S Knoxville Ave, Russellville, AR 72801-6419 | 2019-03-26 |
| 1780114611 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 403 W Oak St Ste 105, El Dorado, AR 71730-4573 | 2017-06-13 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
| 1174907463 | Southwest Arkansas Counseling & Mental Health Center, Inc | Substance Abuse Rehabilitation Facility | 7000 N Stateline, Texarkana, AR 71854-2536 | 2015-07-16 |
| 1851770564 | Better Community Development, Inc | Substance Abuse Rehabilitation Facility | 3604 W 12th St, Little Rock, AR 72204-2139 | 2015-05-27 |
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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.