CENTERS FOR YOUTH AND FAMILIES, INC (NPI# 1134397276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134397276 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR YOUTH AND FAMILIES, INC |
| Other Organization Name | ELIZABETH MITCHELL CHILDREN'S CENTER |
| Practice Address |
6501 W 12th St Little Rock AR 72204-1511 |
| Mailing Address |
Po Box 251970 Little Rock AR 72225-1970 |
| Practice Telephone | 5016668686 |
| Practice Fax Number | 5016608629 |
| Mailing Telephone | 5016668686 |
| Mailing Fax Number | 5016606830 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MRS. BARBARA MCCRORY (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5016668686 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTERS FOR YOUTH AND FAMILIES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Elizabeth Mitchell Children's Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189478 | Centers for Youth and Families, Inc | Clinic/Center | 936 Jordan Dr, Monticello, AR 71655-5728 | 2018-10-01 |
| 1285119776 | Centers for Youth and Families, Inc | Clinic/Center | 500 N Main St, Harrison, AR 72601-3536 | 2018-10-01 |
| Street Address |
6501 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204795 | Loi Ann Chambers | Social Worker | 6501 W 12th St, Little Rock, AR 72204-1511 | 2007-02-22 |
| 1043847312 | Shaneka Hamilton | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-25 |
| 1679100952 | Angela Roby | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-25 |
| 1467087460 | Patricia Shavers | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-10 |
| 1811522816 | Christa Slinker | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-10 |
| 1346875341 | Amanda Loggins | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-10 |
| 1184259186 | Vaquita Rodgers | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-10 |
| 1174158174 | Devin Hester | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-10 |
| 1841825569 | Ruby Rachel Damper | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-04 |
| 1477188092 | Chelsea Fagan | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326232240 | Youth Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 5109 W 23rd St, Little Rock, AR 72204-5101 | 2007-09-04 |
| 1326116518 | United Methodist Children's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2006-12-04 |
| 1437517844 | David Zajac | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-02-01 |
| 1104282235 | Cedric Mayo | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2016-01-05 |
| 1477928984 | Kelanda Williams | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1508231085 | Derwin Clark | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1932574431 | Felicia Reynolds-johnson | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2015-12-09 |
| 1174763536 | United Methodist Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6614 | 2009-02-25 |
| 1649458514 | Centers for Youth and Families | Residential Treatment Facility, Emotionally Disturbed Children | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-04 |
| 1891901955 | Youth Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 | 2007-05-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.