CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC. NPI 1275299786

NPI Information

  • NPI: 1275299786
  • Provider Name: CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: NORTHEAST ARKANSAS REGIONAL RECOVERY CENTER
  • Address: 6009 C W POST RD STE 102
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 932-0228

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NPI Details

CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC. is a multi-specialty clinic center in Jonesboro, AR. CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC. NPI is 1275299786. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Northeast Arkansas Regional Recovery Center.

The provider's business location address is:

6009 C W POST RD STE 102
JONESBORO, AR
ZIP 72401-139
Phone: (870) 932-0228
Fax: (870) 910-5689

The provider's authorized official is Jeremy Wooldridge .
The authorized official title is Ceo and has the following contact phone number (870) 932-0228.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 3/6/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6251B00000XCase ManagementNo
7261QM1300XClinic/CenterMulti-SpecialtyYes

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

NPI Synchronization or Removal

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