MARTIN THERAPY CENTER LLC (NPI# 1699397380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699397380 |
| Entity Type | Organization |
| Organization Name | MARTIN THERAPY CENTER LLC |
| Practice Address |
1003 N Main St Harrison AR 72601-2517 |
| Mailing Address |
Po Box 1102 Harrison AR 72602-1102 |
| Practice Telephone | 8702046016 |
| Practice Fax Number | 8553867000 |
| Mailing Telephone | 8707049711 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | BRANDON MARTIN (OWNER) |
| Authorized Official Telephone | 8707049711 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE LICENSE | P1302015 | 01 |
| Street Address |
1003 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568744142 | Shawna Burns | Counselor | 1003 N Main St, Harrison, AR 72601-2517 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
| 1275944837 | Stephanie Fisher | Counselor | 2386 Highway 392 W, Harrison, AR 72601-8601 | 2014-05-16 |
| 1346561180 | Alexandra Brueckner | Counselor | 395 West St, Harrison, NY 10528-2503 | 2010-06-16 |
| 1629218169 | Winston Allen Morrison Jr. | Counselor | 701 N Walnut St Ste B, Harrison, AR 72601 | 2009-02-24 |
| 1366567364 | Maxus Inc | Counselor | 1408 Hwy 62/65 N, Harrison, AR 72601 | 2007-03-20 |
| 1982769352 | Jacqueline Sarah Riseman | Counselor | 122 Sterling Rd, Harrison, NY 10528-1134 | 2006-12-26 |
| 1356989479 | Devon Gedney | Counselor | 275 North St, Harrison, NY 10528-1140 | 2019-12-19 |
| 1104464239 | Benjamin Banoff | Counselor | 275 North St, Harrison, NY 10528-1140 | 2019-12-19 |
| 1467090688 | Kevin Guerra | Counselor | 275 North St, Harrison, NY 10528-1140 | 2019-12-18 |
| 1750922860 | Seed Digging Pllc | Counselor | 815 N Main St, Harrison, AR 72601-2914 | 2019-10-01 |
| Find all providers in HARRISON | ||||
Please comment or provide details below to improve the information on MARTIN THERAPY CENTER LLC.
| 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.