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UNITED METHODIST BEHAVIORAL HEALTH SYSTEM INC NPI 1457598393


NPI Information

NPI: 1457598393
Provider Name: UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC

Other Name: METHODIST COUNSELING CLINIC - MAGNOLIA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
621 E NORTH ST
MAGNOLIA, AR
ZIP 71753
Phone: (870) 234-0739
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UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC is an adolescent and children mental health clinic center in Magnolia, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC NPI is 1457598393. The provider is registered as an organization entity type.
The provider Other Name Is Methodist Counseling Clinic - Magnolia.

The provider's business location address is:

621 E NORTH ST
MAGNOLIA, AR
ZIP 71753-120
Phone: (870) 234-0739
Fax: (870) 234-0706

The provider's authorized official is Lesley Don Cole .
The authorized official title is Cfo and has the following contact phone number (501) 661-0720.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 4/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1174674526MEDICAIDARKANSAS

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

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