RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC (NPI# 1508183013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508183013 |
| Entity Type | Organization |
| Organization Name | RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC |
| Practice Address |
6801 Isaacs Orchard Rd Ste. 215 Springdale AR 72762-6545 |
| Practice Telephone | 4797253813 |
| Practice Fax Number | 4794194046 |
| Mailing Telephone | 4797253813 |
| Mailing Fax Number | 4794194046 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MR. JOSEPH BRANNON RANDOLPH (PRESIDENT/CEO) |
| Authorized Official Telephone | 4797253813 |
| Authorized Official Credential | MBA, MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0309038 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 181106719 | 05 |
| Street Address |
6801 ISAACS ORCHARD RD STE. 215 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-6545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164503579 | Monson Counseling Pllc | Community/Behavioral Health | 6801 Isaacs Orchard Rd, Springdale, AR 72762-6545 | 2006-10-18 |
| 1174063846 | Verity Revenue, Inc. | Non-Pharmacy Dispensing Site | 6801 Isaacs Orchard Rd, Suite 210, Springdale, AR 72762-6545 | 2017-03-01 |
| 1568603819 | Robert Stark Dds Pa | Dentist | 6801 Isaacs Orchard Rd, Ste. 101, Springdale, AR 72762-6096 | 2009-03-17 |
| 1699912238 | Founders Park Family Dentistry | Dentist | 6801 Isaacs Orchard Rd, Suite 101, Springdale, AR 72762-6096 | 2009-01-20 |
| 1275737116 | Joseph Brannon Randolph | Counselor | 6801 Isaacs Orchard Rd, Ste. 215, Springdale, AR 72762-6545 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063881795 | Balanced Life Concepts | Counselor | 4306 Atchison Ave, Springdale, AR 72762-6643 | 2015-09-23 |
| 1295018042 | David Vance Crow | Counselor | 2002 S 48th St, Suite J, Springdale, AR 72762-5772 | 2011-09-27 |
| 1306176722 | Brandi K Harris | Counselor | 6815 Isaacs Orchard Rd, Suite B1, Springdale, AR 72762-6324 | 2010-01-07 |
| 1972640951 | Carrie Lynn Rye | Counselor | 3291 S Thompson St Ste E103, Springdale, AR 72764-7096 | 2007-01-31 |
| 1861586323 | Angela Dawn Waliski | Counselor | 4960 Springhouse Dr., Springdale, AR 72762 | 2006-10-02 |
| 1710095856 | Morgan Catlin Schroeder | Counselor | 4960 Springhouse Drive, Springdale, AR 72762 | 2006-08-28 |
| 1467465047 | Doris Ann Schuldt | Counselor | 2466 S. 48th St., Springdale, AR 72762 | 2006-08-14 |
| 1548783327 | Michelle N Derose | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2017-07-24 |
| 1518488022 | Megan Eileen Taylor | Counselor | 6733 Sunset Ridge Cir, Springdale, AR 72762-8162 | 2017-07-06 |
| 1417402892 | Brandy Scholl | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2016-08-16 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC.
| 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.