SARA TOLLESON (NPI# 1841541067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841541067 |
| Entity Type | Individual |
| Full Name | SARA TOLLESON |
| Credential | MA |
| Practice Address |
2200 Fort Roots Drive North Little Rock AR 72114-6544 |
| Practice Telephone | 5012571513 |
| Mailing Telephone | 5012571513 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3348 Highway 62 W, Mountain Home, AR 726536544 | 8704249060 | 8704249061 |
| Street Address |
2200 FORT ROOTS DRIVE |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114-6544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740394113 | Robert William Hill | Recreation Therapist | 2200 Fort Roots Drive, 118/nlr, North Little Rock, AR 72114 | 2006-08-19 |
| 1669023537 | Joellen Moore | Technician | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2019-09-23 |
| 1962924779 | Sarah Michelle Scott | Counselor | 2200 Fort Roots Drive, North Little Rock, AR 72114-5392 | 2017-07-13 |
| 1962747790 | Theresa Lynn Brennan | Social Worker | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2012-12-05 |
| 1205060506 | Susan Leigh Bradley | Recreation Therapist | 2200 Fort Roots Drive, North Little Rock, AR 72114-1706 | 2009-05-14 |
| 1689815268 | Jay Michael Burns | Rehabilitation Unit | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2009-03-12 |
| 1265521249 | Tim Allen Kimbrell | Psychiatry & Neurology | 2200 Fort Roots Drive, Bldg 170 Unit 2h, North Little Rock, AR 72114 | 2006-10-11 |
| 1871689026 | Charline Flynt | Social Worker | 2200 Fort Roots Drive, Cavhs, North Little Rock, AR 72114 | 2006-10-05 |
| 1386745875 | Kimberly Joy Watson Chandler | Audiologist | 2200 Fort Roots Drive, 126-nlr, North Little Rock, AR 72114 | 2006-09-26 |
| 1720186539 | William J Carter | Internal Medicine | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184210 | Therapy Assessment Center, LLC | Psychologist | 317 Oak St Ste 3, Conway, AR 72032 | 2015-09-17 |
| 1447313309 | Peggy Ann James | Psychologist | 4400 Shuffield Dr, Little Rock, AR 72205-7100 | 2006-12-19 |
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
Please comment or provide details below to improve the information on SARA TOLLESON.
| 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.