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BHG LI LLC NPI 1083260822


NPI Information

NPI: 1083260822
Provider Name: BHG LI, LLC

Doing Business As: BHG NORTH LITTLE ROCK TREATMENT CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 04D2170357

Address:
4260 STOCKTON DR STE B
NORTH LITTLE ROCK, AR
ZIP 72117
Phone: (501) 664-7833
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BHG LI, LLC is a rehabilitation and substance use disorder clinic center in North Little Rock, AR. BHG LI, LLC NPI is 1083260822. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg North Little Rock Treatment Center.

The provider's business location address is:

4260 STOCKTON DR STE B
NORTH LITTLE ROCK, AR
ZIP 72117-915
Phone: (501) 664-7833
Fax: (501) 666-2366

The provider's authorized official is Jemece Michelle Gasaway .
The authorized official title is Director Of Licensing and has the following contact phone number (214) 365-6126.

The CLIA number assigned to this NPI record is 04D2170357 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 8/21/2019.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM2800XClinic/CenterMethadoneNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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