SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC (NPI# 1194975102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194975102 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ARKANSAS COUNSELING AND MENTAL HEALTH CENTER, INC |
| Practice Address |
1312 W Collin Raye Dr De Queen AR 71832-2135 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8705847115 |
| Practice Fax Number | 8706423388 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | MR. MICHAEL WORLEY (CEO) |
| Authorized Official Telephone | 8707734655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137647726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548410558 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 351 N 2nd St, Ashdown, AR 71822-2753 | 2008-09-26 |
| 1972753994 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 409 Woodruff, Bradley, AR 71826 | 2008-09-26 |
| 1235389255 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1107 Chestnut Street, Lewisville, AR 71845 | 2008-09-26 |
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1295985208 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 300 E 20th St, Hope, AR 71801-8217 | 2008-09-26 |
| 1962652982 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 707 E Greenwood St, Hope, AR 71801-9666 | 2008-09-26 |
| 1598761553 | Southwest Arkansas Counseling and Mental Health Center, Inc | Case Management | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2005-06-24 |
| Street Address |
1312 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108663 | Sheree Moskow | Psychologist | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2006-03-17 |
| 1730786963 | Sonya Steward | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2020-10-01 |
| 1760028708 | Samantha Banhart | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-11-25 |
| 1023666351 | Just Wade Younger | Social Worker | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-08-29 |
| 1891349676 | Miriam Carreon Morales | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-07-30 |
| 1841855012 | Janice Elizabeth Ocampo | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2019-05-03 |
| 1225544315 | Alissa Loren Berruquin | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-12-27 |
| 1639605587 | Michael Wayne Barnes | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-05-11 |
| 1629503982 | Shawn Mitchell I | Counselor | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2017-04-25 |
| 1215397104 | Kimberly Johnson | Case Manager/Care Coordinator | 1312 W Collin Raye Dr, De Queen, AR 71832-2135 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| 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 |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 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.