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EAGLE FAMILY THERAPY SERVICES NPI 1285036913


NPI Information

NPI: 1285036913
Provider Name: EAGLE FAMILY THERAPY SERVICES
Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Organization
Address:
107 PARK ST
MC GEHEE, AR
ZIP 71654
Phone: (870) 501-2042
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EAGLE FAMILY THERAPY SERVICES is an early intervention provider agency in Mc Gehee, AR. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. EAGLE FAMILY THERAPY SERVICES NPI is 1285036913. The provider is registered as an organization entity type.

The provider's business location address is:

107 PARK ST
MC GEHEE, AR
ZIP 71654-915
Phone: (870) 501-2042

The provider's authorized official is Alfonzo Dixon .
The authorized official title is Ceo and has the following contact phone number (870) 501-2042.

The enumeration date for this NPI number is 9/25/2014 and was last updated on 7/8/2016.


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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3222Q00000XDevelopmental TherapistNo
4225XP0200XOccupational TherapistPediatricsNo
5224Z00000XOccupational Therapy AssistantNo
6224ZF0002XOccupational Therapy AssistantFeeding, Eating & SwallowingNo
7225100000XPhysical TherapistNo
82251P0200XPhysical TherapistPediatricsNo
9225200000XPhysical Therapy AssistantNo
10235Z00000XSpeech-Language PathologistNo
112355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
12252Y00000XEarly Intervention Provider AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11285036913MEDICAIDARKANSAS

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: 4/28/2024

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