TEXARKANA BEHAVIORAL ASSOCIATES L.C. NPI 1942316310

NPI Information

NPI: 1942316310
Provider Name: TEXARKANA BEHAVIORAL ASSOCIATES, L.C.

Doing Business As: VANTAGE POINT OF NORTHWEST ARKANSAS

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

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 04D0872060

Address:
121 SAW GRASSE POINT
HARRISON, AR
ZIP 72601
Phone: (479) 521-5731
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TEXARKANA BEHAVIORAL ASSOCIATES, L.C. is a mental health (including community mental health center) clinic center in Harrison, AR. TEXARKANA BEHAVIORAL ASSOCIATES, L.C. NPI is 1942316310. The provider is registered as an organization entity type.
The provider Is Doing Business As Vantage Point Of Northwest Arkansas.

The provider's business location address is:

121 SAW GRASSE POINT
HARRISON, AR
ZIP 72601
Phone: (479) 521-5731
Fax: (479) 521-7683

The provider's authorized official is Brian P. Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 04D0872060 - other - acute mental health hospi with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/28/2023.

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
1	251C00000X	Day Training, Developmentally Disabled Services				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	AR3854	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	152353726	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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