LIFE STRATEGIES OF ARKANSAS (NPI# 1881830727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881830727 |
| Entity Type | Organization |
| Organization Name | LIFE STRATEGIES OF ARKANSAS |
| Other Organization Name | WYNNE OUTPATIENT CLINIC |
| Practice Address |
1718 Falls Blvd N Wynne AR 72396-4022 |
| Mailing Address |
703 Calvin Avery Dr Suite A West Memphis AR 72301-6501 |
| Practice Telephone | 8702384014 |
| Practice Fax Number | 8702384231 |
| Mailing Telephone | 8707321878 |
| Mailing Fax Number | 8707027111 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MS. SHELLA POUNDS (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 8707321878 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFE STRATEGIES OF ARKANSAS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
171535526 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 171535526 | 05 |
| Other Name | Type Code |
|---|---|
| Wynne Outpatient Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699911537 | Life Strategies of Arkansas | Clinic/Center | 177 Bush Street, Building 77, Hughes, AR 72348 | 2008-12-24 |
| 1326284266 | Life Strategies of Arkansas | Clinic/Center | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2008-12-24 |
| 1528204468 | Life Strategies of Arkansas | Clinic/Center | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2008-12-24 |
| 1417193350 | Life Strategies of Arkansas | Clinic/Center | 320 Lee Ave, Earle, AR 72331-2159 | 2008-12-24 |
| 1972749810 | Life Strategies of Arkansas | Clinic/Center | 304 N 6th St, West Memphis, AR 72301-3221 | 2008-12-24 |
| 1235375262 | Life Strategies of Arkansas | Clinic/Center | 703 Calvin Avery Dr, West Memphis, AR 72301-6501 | 2008-12-22 |
| Street Address |
1718 FALLS BLVD N |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668896 | Madison Naceanceno | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2020-07-31 |
| 1417575994 | Travis Austin | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2020-07-10 |
| 1104343862 | Bippy Poage | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2017-08-24 |
| 1902275688 | Anita Carter | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2015-09-23 |
| 1790179513 | Ashia Caldwell | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2015-03-19 |
| 1588933485 | Janetta Cross Parchman | Case Manager/Care Coordinator | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2011-12-21 |
| 1215206289 | Linda Stoner Waddell | Social Worker | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2011-12-21 |
| 1013200724 | Joyce Mary Ray | Social Worker | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2011-05-27 |
| 1548494214 | Lara Lyons | Social Worker | 1718 Falls Blvd N, Wynne, AR 72396-4022 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255507836 | Counseling Consultants | Clinic/Center | 750 Bridges Ave E Ste A, Wynne, AR 72396-2343 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
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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.