CONWAY BEHAVIORAL HEALTH, LLC (NPI# 1245728484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245728484 |
| Entity Type | Organization |
| Organization Name | CONWAY BEHAVIORAL HEALTH, LLC |
| Practice Address |
2255 Sturgis Rd Conway AR 72034 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 5012050011 |
| Mailing Telephone | 6158616100 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | MR. CHRISTOPHER L. HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508108 | Conway Behavioral Health, LLC | Clinic/Center | 2255 Sturgis Road, Conway, AR 72034-8334 | 2017-03-02 |
| Street Address |
2255 STURGIS RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962032888 | Courtney Blair Eberhard | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2020-01-20 |
| 1104464445 | Channing Hall | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2019-12-17 |
| 1578035077 | Valeria Lawana King | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-12-20 |
| 1871073577 | Ariella Frazier | Nurse Practitioner | 2255 Sturgis Rd, Conway, AR 72034-8029 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1033657382 | Heath Bryan Coleman, Dds of Arkansas II, Pllc | Dentist | 635 Dave Ward Drive, Ste 101, Conway, AR 72034 | 2017-02-07 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1275801706 | University of Arkansas for Medical Sciences | Psychiatric Hospital | 4224 Shuffield Drive, Little Rock, AR 72205 | 2011-12-12 |
| 1790925972 | Uhs of Springwoods LLC | Psychiatric Hospital | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2009-02-27 |
| 1194749408 | Jan Greer Sullivan | Psychiatric Hospital | 2200 Fort Roots Dr Bldg 58, North Little Rock, AR 72114-1709 | 2006-07-27 |
| 1669428785 | Living Hope Southwest Medical Services, LLC | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-05-26 |
| 1962473306 | The Bridgeway, LLC | Psychiatric Hospital | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-02-01 |
| 1063482735 | Uhs of Benton, LLC | Psychiatric Hospital | 100 Rivendell Dr, Benton, AR 72015-9188 | 2006-01-25 |
| 1295726156 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4096 | 2005-10-31 |
| 1063415800 | United Methodist Behavioral Health System, Inc | Psychiatric Hospital | 1601 Murphy Drive, Maumelle, AR 72113 | 2005-05-24 |
| 1265435002 | St. Bernards Behavioral Health | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2005-05-24 |
| 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.