UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC. (NPI# 1417111048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417111048 |
| Entity Type | Organization |
| Organization Name | UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC. |
| Other Organization Name | METHODIST COUNSELING CLINIC - FAYETTEVILLE |
| Practice Address |
74 W Sunbridge Dr Fayetteville AR 72703-1822 |
| Mailing Address |
1600 Aldersgate Rd Suite 200 Little Rock AR 72205-6676 |
| Practice Telephone | 4795825565 |
| Practice Fax Number | 4795825574 |
| Mailing Telephone | 5016610720 |
| Mailing Fax Number | 5013257938 |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | MR. LESLEY DON COLE (CFO) |
| Authorized Official Telephone | 5016610720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 174676526 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Counseling Clinic - Fayetteville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972607695 | United Methodist Behavioral Health System, Inc. | Clinic/Center | 1112 Main St, Vilonia, AR 72173-9524 | 2006-09-12 |
| 1508020132 | United Methodist Behavioral Health System, Inc. | Clinic/Center | 1600 Aldersgate Rd, Suite 100, Little Rock, AR 72205-6676 | 2008-07-13 |
| Street Address |
74 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381510 | Kathryn A Panek | Psychiatry & Neurology | 74 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703-1822 | 2007-04-03 |
| 1851939235 | Ashlyn Perryman | Social Worker | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-12-16 |
| 1982169835 | Craig Olienyk | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-02-05 |
| 1033694104 | Mandy Thomas | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2018-09-25 |
| 1699277921 | Timneshia Harris | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2018-03-02 |
| 1548773153 | Lora Huskison | Case Manager/Care Coordinator | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2017-11-06 |
| 1629484571 | London Lockhart | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703 | 2014-07-10 |
| 1467866186 | Savannah Lewis | Counselor | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2014-06-20 |
| 1669806071 | Chulyndria Thomas | Behavioral Analyst | 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2013-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1508379967 | Empowered2shift | Clinic/Center | 351 Wagoner Dr Ste 200, Fayetteville, NC 28303-4672 | 2017-11-08 |
| 1114159928 | Kevin L Deloach | Clinic/Center | 6111 Conaway Dr, Fayetteville, NC 28314-2700 | 2009-08-12 |
| 1497911234 | Carnegie Behavioral Health Services, LLC | Clinic/Center | 175 Carnegie Pl Ste 109, Fayetteville, GA 30214-7903 | 2008-07-31 |
| 1700426731 | Life Strategies Counseling, Inc | Clinic/Center | 2961 N Point Cir, Fayetteville, AR 72704-6986 | 2020-01-07 |
| 1689183493 | Crossbeam Counseling Centers | Clinic/Center | 1017 Hope Mills Rd, Fayetteville, NC 28304-4234 | 2017-09-25 |
| 1902179294 | Alexander Youth Network | Clinic/Center | 1540 Purdue Dr, Suite, Fayetteville, NC 28303-5509 | 2012-02-16 |
| 1295920171 | Zephyr Meadows, PC | Clinic/Center | 170 Whitney St, Fayetteville, GA 30214-2012 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341188 | Tasha Harris Counseling, LLC | Clinic/Center | 2213 N Reynolds Rd Ste 8, Bryant, AR 72022-2500 | 2020-09-16 |
| 1932714623 | Life Strategies Counseling, Inc | Clinic/Center | 1111 S Bowman Rd Ste B4, Little Rock, AR 72211-3766 | 2020-09-10 |
| 1689208704 | Life Strategies Counseling, Inc. | Clinic/Center | 1024 W Court St Ste B, Paragould, AR 72450-4130 | 2020-02-27 |
| 1427680305 | Hope Arising Counseling, Pllc | Clinic/Center | 2223 Washington Ave # C, Conway, AR 72032-2765 | 2020-02-07 |
| 1396376505 | Life Strategies Counseling, Inc | Clinic/Center | 4100 Corporate Center Dr Ste 103, Springdale, AR 72762-5764 | 2020-01-28 |
| 1497308498 | Rock City Counseling and Consulting Services | Clinic/Center | 10515 W Markham St Ste D4, Little Rock, AR 72205-2290 | 2019-07-18 |
| 1932762754 | Fulfilled Life Counseling, LLC | Clinic/Center | 1218 Stone St Ste 204, Jonesboro, AR 72401-4568 | 2019-04-17 |
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1447609763 | G and J Counseling LLC | Clinic/Center | 930 N 26th St, Arkadelphia, AR 71923-3628 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.