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OZARK GUIDANCE CENTER INC NPI 1609875186


NPI Information

NPI: 1609875186
Provider Name: OZARK GUIDANCE CENTER, INC
Classification: Social Worker - 104100000X
Entity Type: Organization

CLIA Number: 04D0932977

Address:
2400 S. 48TH STREET
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-2020
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OZARK GUIDANCE CENTER, INC is a social worker in Springdale, AR. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. OZARK GUIDANCE CENTER, INC NPI is 1609875186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 S. 48TH STREET
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-2020
Fax: (479) 750-8967

The provider's authorized official is John Christopher Ryan .
The authorized official title is Coo and has the following contact phone number (479) 725-5288.

The CLIA number assigned to this NPI record is 04D0932977 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 5/15/2018.


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
1101Y00000XCounselorARKANSASNo
2103T00000XPsychologistARKANSASNo
3104100000XSocial WorkerARKANSASYes

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
1116235726MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.