BRADSHAW COUNSELING AND CONSULTATION SERVICES LLC (NPI# 1629568027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629568027 |
| Entity Type | Organization |
| Organization Name | BRADSHAW COUNSELING AND CONSULTATION SERVICES LLC |
| Other Organization Name | WILLOW TREE COUNSELING AND CONSULTATION SERVICES LLC |
| Practice Address |
1141 E Main St Ste 200 Batesville AR 72501-3014 |
| Mailing Address |
3 River Oaks Blvd Searcy AR 72143-4503 |
| Practice Telephone | 8779945569 |
| Mailing Telephone | 5013229541 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | MR. IAN W BRADSHAW (OWNER) |
| Authorized Official Telephone | 8779945569 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
P1411090 | AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Tree Counseling and Consultation Services LLC | Doing Business As Name - Organization |
| Street Address |
1141 E MAIN ST STE 200 |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881731925 | Twyliah Acklin | Counselor | 1141 E Main St Ste 200, Batesville, AR 72501-3014 | 2007-01-30 |
| 1629383013 | Mandy Leigh Ann Head | Case Manager/Care Coordinator | 1141 E Main St Ste 200, Batesville, AR 72501-3014 | 2010-08-10 |
| 1770898264 | Chrystal Lynn Morrison | Case Manager/Care Coordinator | 1141 E Main St Ste 200, Batesville, AR 72501-3014 | 2010-08-10 |
| 1881848265 | Ian William Bradshaw | Counselor | 1141 E Main St Ste 200, Batesville, AR 72501-3014 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932471638 | Bhc Pinnacle Pointe Hospital, Inc. | Clinic/Center | 400 Harrison St Rm 107, Batesville, AR 72501-6906 | 2012-01-27 |
| 1255583654 | Life Strategies Counseling, Inc. | Clinic/Center | 70 Batesville Blvd Ste C, Batesville, AR 72501-8972 | 2008-10-16 |
| 1427249705 | Physicians and Surgeons Hospital Group | Clinic/Center | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2007-08-05 |
| 1710057963 | Uhs of Benton, Inc. | Clinic/Center | 400 Harrison St, Suite 107, Batesville, AR 72501-6916 | 2006-11-08 |
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|---|---|---|---|---|
| 1427656099 | Life Strategies Counseling, Inc. | Clinic/Center | 112 N Bettis St, Pocahontas, AR 72455-3301 | 2020-10-15 |
| 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 | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.