NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1790265593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265593 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Other Organization Name | MID SOUTH HEALTH SYSTEMS |
| Practice Address |
637 East Main St Melbourne AR 72556 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724000 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CARLA JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 8709724000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MID SOUTH HEALTH SYSTEMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1396396859 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 837 Willett Road, Jonesboro, AR 72401 | 2019-09-26 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1477033322 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 33 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2018-08-20 |
| 1750861688 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 107 Laurel St, Newport, AR 72112-3327 | 2018-08-20 |
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1649750597 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 642 N Main St, Salem, AR 72576-9450 | 2018-08-20 |
| 1336118207 | Northeast Arkansas Community Mental Health Center Inc | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-03-14 |
| Street Address |
637 EAST MAIN ST |
| City | MELBOURNE |
| State | AR |
| Zip Code | 72556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740693274 | Richard Thomas Keefer | Social Worker | 637 East Main St, Melbourne, AR 72556 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1932742640 | Abby Everett | Pharmacist | 803 E Main Street, Melbourne, AR 72556 | 2019-10-25 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1265955512 | Kids El Melbourne | Pediatrics | 889 East Main, Melbourne, AR 72556 | 2017-07-19 |
| 1245752070 | Morgan Brittany Shirley | Nurse Practitioner | 1019 E. Main St., Melbourne, AR 72556 | 2017-07-13 |
| 1467988725 | Anita Love | Case Manager/Care Coordinator | 637 Esat Main St, Melbourne, AR 72556 | 2017-05-05 |
| 1558729236 | Regan Tharp | Developmental Therapist | 889 E. Main, Melbourne, AR 72556 | 2016-02-09 |
| 1164858437 | Mary Grice Duncan | Pharmacist | 600 N. Main Street, Suite C, Melbourne, AR 72556 | 2013-09-18 |
| 1265871248 | Kidspiration Pediatric Therapy Services Too, Inc. | Clinic/Center | 905 East Main St, Melbourne, AR 72556 | 2013-06-23 |
| 1255605499 | Gassville Therapy & Living Center, Inc. | Skilled Nursing Facility | 600 North Main Suite A, Melbourne, AR 72556 | 2012-03-06 |
| Find all providers in zip 72556 | ||||
| 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 |
|---|---|---|---|---|
| 1487265260 | Happyville Counseling LLC | Community/Behavioral Health | 4865 N Wickham Rd, Melbourne, FL 32940-8303 | 2020-08-13 |
| 1073141693 | Terri Williamson, Lmhc, Pa | Community/Behavioral Health | 3270 Suntree Blvd Ste 103, Melbourne, FL 32940-7540 | 2020-03-30 |
| 1174086151 | Wolf Psychological Services LLC | Community/Behavioral Health | 3270 Suntree Blvd Ste 2231, Melbourne, FL 32940-7559 | 2019-04-08 |
| 1639576572 | Archway Counseling Center | Community/Behavioral Health | 274 N Babcock St, Suite C, Melbourne, FL 32935-7334 | 2014-11-20 |
| 1518234830 | Circles of Care, Inc. | Community/Behavioral Health | 880 Airport Blvd, Melbourne, FL 32901-2909 | 2011-12-01 |
| 1467736074 | Sarah M. W, Arnett, Psy.d., P.a. | Community/Behavioral Health | 100 Rialto Pl Ste 754, Melbourne, FL 32901-3003 | 2011-09-30 |
| 1477844751 | For The Community Florida Pllc | Community/Behavioral Health | 627 Williams St, Melbourne, FL 32901-6053 | 2011-04-21 |
| 1932389483 | Prevent of Brevard, Inc. | Community/Behavioral Health | 2115 Babcock St, Melbourne, FL 32901 | 2007-11-13 |
| 1366090730 | Foundations Counseling, LLC. | Community/Behavioral Health | 4875 N Wickham Rd Ste 105, Melbourne, FL 32940-8304 | 2019-08-29 |
| 1669930756 | Dawn A. Huggins Lcsw Pllc | Community/Behavioral Health | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2019-03-07 |
| Find all providers in MELBOURNE | ||||
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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.