CONWAY COUNTY COMMUNITY SERVICE INC (NPI# 1033344379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033344379 |
| Entity Type | Organization |
| Organization Name | CONWAY COUNTY COMMUNITY SERVICE INC |
| Other Organization Name | COMMUNITY SERVICE INC - CLARKSVILLE |
| Practice Address |
106 Cherokee Ln Clarksville AR 72830-8014 |
| Practice Telephone | 4797547296 |
| Practice Fax Number | 4797548919 |
| Mailing Telephone | 4797547296 |
| Mailing Fax Number | 4797548919 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Authorized Official Name | STEVE WILLBANKS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5013544589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Community Service Inc - Clarksville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| Street Address |
106 CHEROKEE LN |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386785871 | Kaethe Hoehling | Counselor | 106 Cherokee Ln, Clarksville, AR 72830-8014 | 2007-02-09 |
| 1164677597 | Rhonda Medford | Behavioral Analyst | 106 Cherokee Ln, Clarksville, AR 72830-8014 | 2008-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1396138376 | Rondell Harju, Lcsw | Community/Behavioral Health | 4065 Challis Dr, Clarksville, TN 37040-2533 | 2015-03-14 |
| 1689077802 | Lemai Daisy | Community/Behavioral Health | 1473 Mutual Dr, Clarksville, TN 37042-7090 | 2014-10-01 |
| 1013317445 | Trinity Behavioral Health Services LLC | Community/Behavioral Health | 151b Hatcher Ln, Clarksville, TN 37043 | 2014-09-04 |
| 1679973812 | Graham Martin | Community/Behavioral Health | 135 Westfield Ct, 320, Clarksville, TN 37040-5073 | 2014-08-25 |
| 1851714349 | Focused Aba Services LLC | Community/Behavioral Health | 3589 Highway 41a S, Clarksville, TN 37043-6805 | 2014-02-04 |
| 1760736078 | Family Preservation Services, Inc. | Community/Behavioral Health | 1696 Noblin Farm Rd, Clarksville, VA 23927-3101 | 2012-11-08 |
| 1639397318 | Centerstone | Community/Behavioral Health | 314 Ridgeline Dr, Clarksville, TN 37042-3765 | 2007-04-20 |
| 1659905396 | Western Arkansas Counseling and Guidance Center, Inc-rcf Clarksville | Community/Behavioral Health | 311 S Central St, Clarksville, AR 72830-3601 | 2020-03-02 |
| 1508327255 | Remade Counseling and Consulting, LLC | Community/Behavioral Health | 1820 Memorial Dr Ste 101, Clarksville, TN 37043-4693 | 2019-03-26 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on CONWAY COUNTY COMMUNITY SERVICE INC.
| 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.