ADMMD LLC NPI 1275069346

NPI Information

  • NPI: 1275069346
  • Provider Name: ADMMD LLC
  • Classification: Prevention Professional - 405300000X
  • Entity Type: Organization
  • Address: 4523 WOODLAWN DR
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 663-2363

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NPI Details

ADMMD LLC is a prevention professional in Little Rock, AR. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. ADMMD LLC NPI is 1275069346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4523 WOODLAWN DR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 663-2363
Fax: (501) 663-2362

The provider's authorized official is Christina Carr .
The authorized official title is Clinic Manager and has the following contact phone number (501) 663-2363.

The enumeration date for this NPI number is 5/10/2017 and was last updated on 5/12/2017.

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
1405300000XPrevention Professional207Q00000XARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15N669MEDICARE PINARKANSAS
2P00356918MEDICARE PINARKANSAS
306080012300OTHERARKANSASQUALCHOICE
42674768OTHERARKANSASUNITED HEALTHCARE
5I61644MEDICARE UPINARKANSAS
67203815OTHERARKANSASAETNA
7764178OTHERARKANSASHEALTHLINK

What is NPI?

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This page was last updated on: 11/21/2025

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