CENTERS FOR YOUTH AND FAMILIES, INC (NPI# 1982189478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982189478 |
| Entity Type | Organization |
| Organization Name | CENTERS FOR YOUTH AND FAMILIES, INC |
| Practice Address |
936 Jordan Dr Monticello AR 71655-5728 |
| Mailing Address |
5800 W 10th St Little Rock AR 72204-1752 |
| Practice Telephone | 8704600066 |
| Practice Fax Number | 8704600185 |
| Mailing Telephone | 5016668686 |
| Mailing Fax Number | 5016606830 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | BARBARA MCCRORY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5016606886 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTERS FOR YOUTH AND FAMILIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeast Outpatient Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285119776 | Centers for Youth and Families, Inc | Clinic/Center | 500 N Main St, Harrison, AR 72601-3536 | 2018-10-01 |
| 1134397276 | Centers for Youth and Families, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 6501 W 12th St, Little Rock, AR 72204-1511 | 2008-02-12 |
| Street Address |
936 JORDAN DR |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306456 | Cynthia Daniels | Licensed Practical Nurse | 936 Jordan Dr, Monticello, AR 71655-5728 | 2020-01-30 |
| 1508404203 | Jessica Rawson | Licensed Practical Nurse | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-12-13 |
| 1316585011 | Dadrian Smith | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-12-13 |
| 1497397251 | Brooke Tucker | Registered Nurse | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-10-14 |
| 1336781228 | Harris Figures | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-10-11 |
| 1245872134 | Darius Ridgell | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-10-11 |
| 1194376251 | Jessica Haynes | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-09-20 |
| 1235786906 | Tanisha Rainey | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-08-19 |
| 1740837418 | Deshawn Mcgowan | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-08-19 |
| 1760039432 | Adrian Fleming | Case Manager/Care Coordinator | 936 Jordan Dr, Monticello, AR 71655-5728 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341188 | Tasha Harris Counseling, LLC | Clinic/Center | 2213 N Reynolds Rd Ste 8, Bryant, AR 72022-2500 | 2020-09-16 |
| 1932714623 | Life Strategies Counseling, Inc | Clinic/Center | 1111 S Bowman Rd Ste B4, Little Rock, AR 72211-3766 | 2020-09-10 |
| 1689208704 | Life Strategies Counseling, Inc. | Clinic/Center | 1024 W Court St Ste B, Paragould, AR 72450-4130 | 2020-02-27 |
| 1427680305 | Hope Arising Counseling, Pllc | Clinic/Center | 2223 Washington Ave # C, Conway, AR 72032-2765 | 2020-02-07 |
| 1396376505 | Life Strategies Counseling, Inc | Clinic/Center | 4100 Corporate Center Dr Ste 103, Springdale, AR 72762-5764 | 2020-01-28 |
| 1497308498 | Rock City Counseling and Consulting Services | Clinic/Center | 10515 W Markham St Ste D4, Little Rock, AR 72205-2290 | 2019-07-18 |
| 1932762754 | Fulfilled Life Counseling, LLC | Clinic/Center | 1218 Stone St Ste 204, Jonesboro, AR 72401-4568 | 2019-04-17 |
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1447609763 | G and J Counseling LLC | Clinic/Center | 930 N 26th St, Arkadelphia, AR 71923-3628 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
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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.