SACRED TRUST CHRISTIAN COUNSELING (NPI# 1326530585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326530585 |
| Entity Type | Organization |
| Organization Name | SACRED TRUST CHRISTIAN COUNSELING |
| Practice Address |
1720 Simms St Conway AR 72034-6416 |
| Mailing Address |
Po Box 2431 Conway AR 72033-2431 |
| Practice Telephone | 8003954564 |
| Practice Fax Number | 4104496336 |
| Mailing Telephone | 8003954564 |
| Mailing Fax Number | 4104496336 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | DR. CASONDRA RENEE ROBINSON (CEO) |
| Authorized Official Telephone | 8003954564 |
| Authorized Official Credential | PHD, THD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
121001 | OH | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 121001 | OH | Agencies |
| Street Address |
1720 SIMMS ST |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257701 | Casondra R Robinson | Counselor | 1720 Simms St, Conway, AR 72034-6416 | 2018-06-04 |
| 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 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 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 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1164828729 | Shoreline Behavioral Health Services | Community/Behavioral Health | 2404 Wise Road, Conway, SC 29528-0136 | 2014-11-10 |
| 1962836411 | Community Resource Solutions LLC Sc | Community/Behavioral Health | 7091 Horseshoe Cir, Conway, SC 29527-7503 | 2013-09-02 |
| 1952614653 | Potential Counseling Service | Community/Behavioral Health | 8377 Huntington Ct, Conway, SC 29527-7989 | 2010-07-22 |
| 1134446958 | Lighted Path Pllc | Community/Behavioral Health | 1124 Oak St, Suite 250, Conway, AR 72032-4318 | 2010-05-04 |
| 1699909911 | Conway County Community Service Inc. | Community/Behavioral Health | 816 N Creek Dr, Conway, AR 72032-4711 | 2009-05-14 |
| 1013197540 | Dayspring Behavioral Health | Community/Behavioral Health | 1270 Bruce St, Conway, AR 72034-6511 | 2007-11-13 |
| 1548772882 | Pediatrics Plus Community Connections | Community/Behavioral Health | 2740 College Ave, Conway, AR 72034-6141 | 2017-10-26 |
| 1255782934 | New Approaches Counseling | Community/Behavioral Health | 6720 Elbow Rd, Conway, SC 29527-6471 | 2016-06-24 |
| 1730553199 | Shoreline Behavioral Health Services | Community/Behavioral Health | 2404 Wise Rd, Conway, SC 29526-5521 | 2015-11-23 |
| 1881060440 | Kairos Foundation | Community/Behavioral Health | 235 Tilk Rd, Conway, AR 72032-6648 | 2015-08-18 |
| Find all providers in CONWAY | ||||
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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.