LIFE STRATEGIES OF ARKANSAS NPI 1881830727

NPI Information

NPI: 1881830727
Provider Name: LIFE STRATEGIES OF ARKANSAS

Other Name: WYNNE OUTPATIENT CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1718 FALLS BLVD N
WYNNE, AR
ZIP 72396
Phone: (870) 238-4014
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LIFE STRATEGIES OF ARKANSAS is a mental health (including community mental health center) clinic center in Wynne, AR. LIFE STRATEGIES OF ARKANSAS NPI is 1881830727. The provider is registered as an organization entity type.
The provider Other Name Is Wynne Outpatient Clinic.

The provider's business location address is:

1718 FALLS BLVD N
WYNNE, AR
ZIP 72396-022
Phone: (870) 238-4014
Fax: (870) 238-4231

The provider's authorized official is Shella Pounds .
The authorized official title is Compliance Officer and has the following contact phone number (870) 732-1878.

The enumeration date for this NPI number is 12/24/2008 and was last updated on 3/6/2013.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	171535526	ARKANSAS	Yes

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
1	171535526	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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