RESTORED LIFE SERVICES OF ARKANSAS NPI 1558727024

NPI Information

NPI: 1558727024
Provider Name: RESTORED LIFE SERVICES OF ARKANSAS

Other Name: RESTORED LIFE SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
127 E 3RD ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 219-4100
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RESTORED LIFE SERVICES OF ARKANSAS is an addiction (substance use disorder) counselor in Russellville, AR. RESTORED LIFE SERVICES OF ARKANSAS NPI is 1558727024. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Restored Life Services.

The provider's business location address is:

127 E 3RD ST
RUSSELLVILLE, AR
ZIP 72801-106
Phone: (479) 219-4100

The provider's authorized official is Mary Caitlin Conner .
The authorized official title is Clinical Director and has the following contact phone number (479) 219-4100.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 1/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

NPI Synchronization or Removal

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