Centers For Youth And Families, Inc. | |
6601 W. 12th Street Little Rock AR 72204 | |
(501) 666-8686 | |
(501) 666-6838 |
Full Name | Centers For Youth And Families, Inc. |
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Speciality | Clinic/Center |
Location | 6601 W. 12th Street, Little Rock, Arkansas |
Authorized Official Name and Position | Doug Stadter (PRESIDENT/CEO) |
Authorized Official Contact | 5016668686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centers For Youth And Families, Inc. Po Box 251970 Little Rock AR 72225-1970 Ph: (501) 666-8686 | Centers For Youth And Families, Inc. 6601 W. 12th Street Little Rock AR 72204 Ph: (501) 666-8686 |
NPI Number | 1174617526 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4486996279 |
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Medicare Enrollment ID | O20190426000876 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174617526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Lynn C Thomas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497701692 PECOS PAC ID: 3375436611 Enrollment ID: I20040202001199 |
Provider Name | Mary Jo Mclin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285836130 PECOS PAC ID: 2062494966 Enrollment ID: I20040603001389 |
Provider Name | Brian A Oman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891885463 PECOS PAC ID: 9032177126 Enrollment ID: I20041221000419 |
Provider Name | Lalita H Perkins |
---|---|
Provider Type | Practitioner - Neuropsychiatry |
Provider Identifiers | NPI Number: 1043341142 PECOS PAC ID: 1254435712 Enrollment ID: I20070323000059 |
Provider Name | Marlyn M Lipton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487835674 PECOS PAC ID: 3375628126 Enrollment ID: I20080304000753 |
Provider Name | Kelly Hair |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013038082 PECOS PAC ID: 4587735485 Enrollment ID: I20080620000190 |
Provider Name | John R Schay |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770604746 PECOS PAC ID: 3678620663 Enrollment ID: I20090408000494 |
Provider Name | Laura L Holt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477886489 PECOS PAC ID: 9739495284 Enrollment ID: I20150831000561 |
Provider Name | Brandi N Yarberry |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821382995 PECOS PAC ID: 3870818636 Enrollment ID: I20160526000134 |
Provider Name | Chloe Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861843831 PECOS PAC ID: 5890080410 Enrollment ID: I20160822002205 |
Provider Name | Kelsey Lewis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316256753 PECOS PAC ID: 9133407737 Enrollment ID: I20161102002081 |
Provider Name | Don J Althoff |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649749706 PECOS PAC ID: 1850636507 Enrollment ID: I20181227001303 |
Provider Name | Britt-marie Seymore |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649409483 PECOS PAC ID: 8729320536 Enrollment ID: I20190426001579 |
Provider Name | Zarina Shah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154370518 PECOS PAC ID: 7113269911 Enrollment ID: I20190426001991 |
Provider Name | Daniel L Price |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609261338 PECOS PAC ID: 3971819210 Enrollment ID: I20190606002806 |
Provider Name | Samuel J Olson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366974008 PECOS PAC ID: 0547532244 Enrollment ID: I20190807003933 |
Provider Name | Jessie M Stuckey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114571072 PECOS PAC ID: 2062847940 Enrollment ID: I20200123000630 |
Provider Name | Caitlin N Sammons |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578025771 PECOS PAC ID: 4082042296 Enrollment ID: I20200323002351 |
Provider Name | Roger Lew Hiatt |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417082710 PECOS PAC ID: 1850710542 Enrollment ID: I20200930000156 |
Provider Name | Cydney M Grant |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164884250 PECOS PAC ID: 2062704570 Enrollment ID: I20201204002023 |
Provider Name | Samantha L Golden |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245723204 PECOS PAC ID: 0345654109 Enrollment ID: I20210208000362 |
Provider Name | Jennifer Hammond |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770076358 PECOS PAC ID: 1254747256 Enrollment ID: I20210316001871 |
Provider Name | Christina Lynn Allen-doyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306417324 PECOS PAC ID: 2365822632 Enrollment ID: I20220704000193 |
Provider Name | Leah Richter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659915577 PECOS PAC ID: 2365822467 Enrollment ID: I20220707001121 |
Provider Name | Marcus Greene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154043941 PECOS PAC ID: 2961879366 Enrollment ID: I20221027001092 |
Provider Name | Tracy D Conway |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407176100 PECOS PAC ID: 5698145936 Enrollment ID: I20230103002300 |
Provider Name | Sydnie Mohr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174115265 PECOS PAC ID: 3274997945 Enrollment ID: I20230913003019 |
Provider Name | Megan A Otey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699280578 PECOS PAC ID: 3870942220 Enrollment ID: I20231211000579 |
Provider Name | Jason Andrews |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043795958 PECOS PAC ID: 7911357967 Enrollment ID: I20240206004933 |
Provider Name | Leah Williams |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295861573 PECOS PAC ID: 2567812555 Enrollment ID: I20240208002649 |
Provider Name | Megan Denson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720484629 PECOS PAC ID: 6901240738 Enrollment ID: I20240220001749 |
Provider Name | Ferrell Bonner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700491263 PECOS PAC ID: 9335589688 Enrollment ID: I20240502003915 |
Provider Name | Brooke W Schulz |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649696394 PECOS PAC ID: 2264873553 Enrollment ID: I20240517001500 |
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