SHORT MOUNTAIN LODGE CSSP LLC NPI 1194540534

NPI Information

  • NPI: 1194540534
  • Provider Name: SHORT MOUNTAIN LODGE CSSP LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 2721 W WALNUT ST
    PARIS, AR
    ZIP 72855
  • Phone: (479) 963-2255

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NPI Details

SHORT MOUNTAIN LODGE CSSP LLC is a community behavioral health in Paris, AR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SHORT MOUNTAIN LODGE CSSP LLC NPI is 1194540534. The provider is registered as an organization entity type.

The provider's business location address is:

2721 W WALNUT ST
PARIS, AR
ZIP 72855-642
Phone: (479) 963-2255

The provider's authorized official is Claude Bryant .
The authorized official title is Regional Administrator and has the following contact phone number (479) 650-7083.

The enumeration date for this NPI number is 11/20/2024 and was last updated on 5/7/2025.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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