DANA'S HOUSE, INC. (NPI# 1376793406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376793406 |
Entity Type | Organization |
Organization Name | DANA'S HOUSE, INC. |
Practice Address |
108 S Jefferson St De Witt AR 72042-1929 |
Mailing Address |
Po Box 138 De Witt AR 72042-0138 |
Practice Telephone | 8709468303 |
Practice Fax Number | 8709468303 |
Mailing Telephone | 8709468303 |
Mailing Fax Number | 8709468217 |
Enumeration Date | 2008-09-25 |
Last Update Date | 2020-03-10 |
Authorized Official Name | JON C HORNBECK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8709468303 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 253J00000X | Foster Care Agency | Agencies | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 230911744 | 05 |
Street Address |
108 S JEFFERSON ST |
City | DE WITT |
State | AR |
Zip Code | 72042-1929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629376173 | Tiffany N Mcpherson | Counselor | 108 S Jefferson St, De Witt, AR 72042-1929 | 2011-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295839397 | Stanley Wayne Burleson | Family Medicine | 705 W 16th St, Dewitt, AR 72042 | 2006-09-11 |
1770796401 | Randall S Hestir Dds Inc | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2007-05-08 |
1013076397 | James Douglas Allen | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-12-06 |
1780754036 | Randall S Hestir | Dentist | 1703 S Whitehead Dr, Dewitt, AR 72042 | 2006-11-08 |
1710207808 | Suzette Nicole Boyd | Nurse Practitioner | 1641 South Whitehead Drive, Dewitt, AR 72042-0000 | 2010-06-11 |
1992714992 | Evergreene Properties of North Carolina,llc | Skilled Nursing Facility | 1325 Liberty Drive, Dewitt, AR 72042-0589 | 2006-08-07 |
1225328511 | Dewitt School District | Local Education Agency (LEA) | 422 W 1st St, De Witt, AR 72042-1906 | 2011-04-08 |
1962553404 | Tommys Rexall Drug Company Inc. | Pharmacy | 220 Court Sq, Dewitt, AR 72042-2057 | 2007-01-12 |
1306461421 | Tommy Glenn Black | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2020-06-15 |
1013556042 | Kristi Leigh Whitmore | Pharmacist | 220 Court Sq, De Witt, AR 72042-2057 | 2019-12-20 |
Find all providers in zip 72042 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
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1932706918 | Village Counseling LLC | Clinic/Center | 13 Belleza Way, Hot Springs Village, AR 71909-7911 | 2020-10-03 |
1487205357 | Central Arkansas Psychological Services | Clinic/Center | 523 N University Ave, Little Rock, AR 72205-2916 | 2019-09-23 |
1548723547 | Christa Means Counseling Services | Clinic/Center | 1800 Hendricks Blvd, Fort Smith, AR 72903-3414 | 2019-04-08 |
1992289268 | Cassandra Warden Corporation | Clinic/Center | 721 Norma Ln, Ozark, AR 72949-4126 | 2018-09-21 |
1134606304 | Pace Psychotherapy | Clinic/Center | 1605 N Fillmore St, Little Rock, AR 72207-5343 | 2018-07-20 |
1659863967 | Rising Lotus Therapy Services, Pllc | Clinic/Center | 1401 Malvern Ave Ste 200a, Hot Springs, AR 71901-6371 | 2018-06-01 |
1215444963 | Souls Harbor of Rogers Inc. | Clinic/Center | 1206 N 2nd St, Rogers, AR 72756-2836 | 2018-01-03 |
1538674932 | Pathways Counseling, Pllc | Clinic/Center | 5540 Lexington Ave, Benton, AR 72019-1834 | 2017-12-06 |
1306374350 | Sarah Elizabeth Gibson | Clinic/Center | 172 Longview Cir, Searcy, AR 72143-9215 | 2017-06-02 |
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.