TEXARKANA BEHAVIORAL ASSOCIATES LC (NPI# 1295864478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295864478 |
| Entity Type | Organization |
| Organization Name | TEXARKANA BEHAVIORAL ASSOCIATES LC |
| Other Organization Name | VISTA HEALTH FORT SMITH |
| Practice Address |
10301 Mayo Dr Barling AR 72923-1660 |
| Mailing Address |
4253 N Crossover Rd Fayetteville AR 72703-4593 |
| Practice Telephone | 4794945700 |
| Practice Fax Number | 4794848142 |
| Mailing Telephone | 4795217531 |
| Mailing Fax Number | 4795214926 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CONNIE M BORRENGASSER (CEO) |
| Authorized Official Telephone | 4795215731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| VISTA HEALTH FORT SMITH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225244676 | Texarkana Behavioral Associates Lc | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2007-05-15 |
| 1114040888 | Texarkana Behavioral Associates Lc | Psychiatry & Neurology | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-04-09 |
| 1477682649 | Texarkana Behavioral Associates Lc | Day Training, Developmentally Disabled Services | 3352 N Futrall Dr, Fayetteville, AR 72703-4057 | 2007-03-05 |
| 1386773554 | Texarkana Behavioral Associates Lc | Day Training, Developmentally Disabled Services | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2007-03-05 |
| 1467485680 | Texarkana Behavioral Associates Lc | Psychiatric Hospital | 801 Arkansas Blvd, Texarkana, AR 71854-2107 | 2006-07-09 |
| Street Address |
10301 MAYO DR |
| City | BARLING |
| State | AR |
| Zip Code | 72923-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034547 | Terrell P Bishop | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2005-09-22 |
| 1124630223 | Alexandra Tiffany Essid | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2020-08-19 |
| 1750942215 | Kelley Danielle Hale | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2019-06-25 |
| 1740762905 | Kally Marie Elizabeth Sivage | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2018-09-04 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1629478946 | Lisa G Brock | Counselor | 10301 Mayo Dr, Barling, AR 72923-1660 | 2014-08-25 |
| 1124466701 | Phomakay Primary Care Pa | Family Medicine | 10301 Mayo Dr, Barling, AR 72923-1660 | 2013-06-05 |
| 1154674661 | Saige E Small | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-10-22 |
| 1811242233 | Savannah Keeter | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-07-23 |
| 1922369495 | James Vitale | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
| 1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
| 1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
| Find all providers in zip 72923 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483677 | Texarkana Behavioral Associates, L.c. | Day Training, Developmentally Disabled Services | 815a Fort Street, Barling, AR 72923 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1801447990 | Abc Children's Academy - Clarksville Site 3 | Day Training, Developmentally Disabled Services | 105 Cherokee Ln, Clarksville, AR 72830-8014 | 2019-09-20 |
| 1679127443 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 308 E 11th St, Russellville, AR 72801-6156 | 2019-07-30 |
| 1780238550 | Abc Children's Academy | Day Training, Developmentally Disabled Services | 110 Library Rd, Dover, AR 72837 | 2019-07-30 |
| 1134685290 | Outcomes Incorporated | Day Training, Developmentally Disabled Services | 4501 S Thompson St, Springdale, AR 72764-7464 | 2019-02-13 |
| 1154772143 | Abc Children's Academy & Developmental Center-clarksville | Day Training, Developmentally Disabled Services | 108 Cherokee Ln, Clarksville, AR 72830-8014 | 2016-06-30 |
| 1851765143 | Kidspot Plus | Day Training, Developmentally Disabled Services | 1823 Grant Ave Ste F, Jonesboro, AR 72401-6148 | 2015-11-24 |
| 1609270057 | Abc Children's Academy & Developmental Center Dover | Day Training, Developmentally Disabled Services | 105 Library Rd, Dover, AR 72837-9005 | 2014-10-14 |
| 1790197473 | Kina Burruss | Day Training, Developmentally Disabled Services | 1501 Dogwood Trl, Malvern, AR 72104-4513 | 2014-05-29 |
| 1609298306 | Cb King Jm | Day Training, Developmentally Disabled Services | 1109 North School, Dermott, AR 71638-0000 | 2014-01-15 |
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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.