WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC-RCF CLARKSVILLE (NPI# 1659905396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659905396 |
| Entity Type | Organization |
| Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC-RCF CLARKSVILLE |
| Practice Address |
311 S Central St Clarksville AR 72830-3601 |
| Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
| Practice Telephone | 4794526650 |
| Mailing Telephone | 4794526650 |
| Mailing Fax Number | 4794525847 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | AARON L. 'RUSTI' HOLWICK (CEO) |
| Authorized Official Telephone | 4794526650 |
| Authorized Official Credential | LPE-I |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| WACGC-RCF Clarksville | Doing Business As Name - Organization |
| Street Address |
311 S CENTRAL ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093844045 | Amber Plugge | Social Worker | 311 S Central St, Clarksville, AR 72830-3601 | 2007-03-05 |
| 1093358087 | Donna Hertlein | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2019-10-22 |
| 1922563626 | Sahara Collins | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2019-02-06 |
| 1104321264 | Katie Watkins | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2018-03-29 |
| 1891201893 | Avigail Yanes | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2017-12-28 |
| 1457862062 | Amberlee C. Sinor | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2017-10-23 |
| 1134643174 | Henry Heidelberger | Counselor | 311 S Central St, Clarksville, AR 72830-3601 | 2017-08-01 |
| 1790132553 | Rhianna Vaughn | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2016-05-20 |
| 1851797526 | Melisa Beaty | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2014-11-07 |
| 1235538752 | Jamie Nelson | Case Manager/Care Coordinator | 311 S Central St, Clarksville, AR 72830-3601 | 2014-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1396138376 | Rondell Harju, Lcsw | Community/Behavioral Health | 4065 Challis Dr, Clarksville, TN 37040-2533 | 2015-03-14 |
| 1689077802 | Lemai Daisy | Community/Behavioral Health | 1473 Mutual Dr, Clarksville, TN 37042-7090 | 2014-10-01 |
| 1013317445 | Trinity Behavioral Health Services LLC | Community/Behavioral Health | 151b Hatcher Ln, Clarksville, TN 37043 | 2014-09-04 |
| 1679973812 | Graham Martin | Community/Behavioral Health | 135 Westfield Ct, 320, Clarksville, TN 37040-5073 | 2014-08-25 |
| 1851714349 | Focused Aba Services LLC | Community/Behavioral Health | 3589 Highway 41a S, Clarksville, TN 37043-6805 | 2014-02-04 |
| 1760736078 | Family Preservation Services, Inc. | Community/Behavioral Health | 1696 Noblin Farm Rd, Clarksville, VA 23927-3101 | 2012-11-08 |
| 1639397318 | Centerstone | Community/Behavioral Health | 314 Ridgeline Dr, Clarksville, TN 37042-3765 | 2007-04-20 |
| 1508327255 | Remade Counseling and Consulting, LLC | Community/Behavioral Health | 1820 Memorial Dr Ste 101, Clarksville, TN 37043-4693 | 2019-03-26 |
| 1932568490 | Caprice Riley | Community/Behavioral Health | 511 8th St, Clarksville, TN 37040-3093 | 2016-02-12 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC-RCF CLARKSVILLE.
| 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.