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CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC. NPI 1275299786


NPI Information

NPI: 1275299786
Provider Name: CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.

Doing Business As: NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
6009 C W POST RD STE 102
JONESBORO, AR
ZIP 72401
Phone: (870) 932-0228
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CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC. is a professional counselor in Jonesboro, AR. CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC. NPI is 1275299786. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Northeast Arkansas Regional Recovery Center.

The provider's business location address is:

6009 C W POST RD STE 102
JONESBORO, AR
ZIP 72401-139
Phone: (870) 932-0228
Fax: (870) 910-5689

The provider's authorized official is Jeremy Wooldridge .
The authorized official title is Ceo and has the following contact phone number (870) 932-0228.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 1/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.