| Behavioral Health Services Of Arkansas | |
|
20400 Colonel Glenn Rd Little Rock AR 72210 | |
| (501) 821-5500 | |
| (501) 821-5580 |
| Full Name | Behavioral Health Services Of Arkansas |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 20400 Colonel Glenn Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | David Napier (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5018215500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Of Arkansas 20400 Colonel Glenn Rd Little Rock AR 72210-5323 Ph: (501) 821-5500 | Behavioral Health Services Of Arkansas 20400 Colonel Glenn Rd Little Rock AR 72210 Ph: (501) 821-5500 |
| NPI Number | 1942266879 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 4789806431 |
|---|---|
| Medicare Enrollment ID | O20141112001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942266879 | NPI | - | NPPES |
| 113493125 | Medicaid | AR | |
| 137548726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11010 (Arkansas) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
| Provider Name | Angela G Shy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629199690 PECOS PAC ID: 4981704004 Enrollment ID: I20070702000675 |
| Provider Name | Samuel T Bayles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043331010 PECOS PAC ID: 0345333043 Enrollment ID: I20070911000987 |
| Provider Name | Sandra J Mathes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154570604 PECOS PAC ID: 5799843751 Enrollment ID: I20081020000238 |
| Provider Name | Alan C Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679579650 PECOS PAC ID: 5092879692 Enrollment ID: I20090127000201 |
| Provider Name | Elisha M Strayhorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508993205 PECOS PAC ID: 4587991039 Enrollment ID: I20190807001319 |
| Provider Name | Cody Layne Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359510 PECOS PAC ID: 5294160628 Enrollment ID: I20200114000050 |
| Provider Name | Karen E Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518114990 PECOS PAC ID: 0941631378 Enrollment ID: I20200519000452 |
| Provider Name | Laura J Conley-olsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740424522 PECOS PAC ID: 1456776012 Enrollment ID: I20200730001540 |
| Provider Name | Erin D Lytle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558526079 PECOS PAC ID: 2163842790 Enrollment ID: I20201020000734 |
| Provider Name | Marisha R Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609246073 PECOS PAC ID: 2668881061 Enrollment ID: I20210517000368 |
| Provider Name | Joseph C Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265087274 PECOS PAC ID: 8729487293 Enrollment ID: I20210603001557 |
| Provider Name | Melanie Mcleain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841607157 PECOS PAC ID: 2567858103 Enrollment ID: I20220406002638 |
| Provider Name | Toynicka N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104213842 PECOS PAC ID: 0446635734 Enrollment ID: I20220922003375 |
| Provider Name | Ashley J Lockert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508415316 PECOS PAC ID: 4183009368 Enrollment ID: I20220924000326 |
| Provider Name | Sebrina Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255707956 PECOS PAC ID: 5092162917 Enrollment ID: I20231114001331 |
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