| Inspiration Day Treatment, Inc. | |
|
1014 Autumn Rd Ste 3 Little Rock AR 72211-3768 | |
| (501) 221-1941 | |
| (501) 221-1553 |
| Full Name | Inspiration Day Treatment, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1014 Autumn Rd Ste 3, Little Rock, Arkansas |
| Authorized Official Name and Position | Todd Witham (PRESIDENT) |
| Authorized Official Contact | 5012211941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiration Day Treatment, Inc. 1014 Autumn Rd Ste 3 Little Rock AR 72211-3768 Ph: (501) 221-1941 | Inspiration Day Treatment, Inc. 1014 Autumn Rd Ste 3 Little Rock AR 72211-3768 Ph: (501) 221-1941 |
| NPI Number | 1811141807 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 5698801272 |
|---|---|
| Medicare Enrollment ID | O20100407000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811141807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joyce S Wesley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508970328 PECOS PAC ID: 2163402181 Enrollment ID: I20040721000967 |
| Provider Name | Patricia Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508930504 PECOS PAC ID: 2264524651 Enrollment ID: I20070815000053 |
| Provider Name | Leslie Gene Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881803203 PECOS PAC ID: 4880883099 Enrollment ID: I20110104000541 |
| Provider Name | Michael King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164557682 PECOS PAC ID: 4284857830 Enrollment ID: I20140529000057 |
| Provider Name | Jack Anderson Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356682165 PECOS PAC ID: 9436409133 Enrollment ID: I20180829004470 |
| Provider Name | Toni L Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801914452 PECOS PAC ID: 9638418403 Enrollment ID: I20190222002056 |
| Provider Name | Dominik D Morton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033484605 PECOS PAC ID: 2466792890 Enrollment ID: I20190322000273 |
| Provider Name | Andrea J King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891880258 PECOS PAC ID: 4486989514 Enrollment ID: I20190711003087 |
| Provider Name | Christina Mantione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629682653 PECOS PAC ID: 8325468341 Enrollment ID: I20201013002641 |
| Provider Name | Amber K Marts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960809 PECOS PAC ID: 2961795257 Enrollment ID: I20210222003000 |
| Provider Name | Christopher T Heverling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952811879 PECOS PAC ID: 5294101408 Enrollment ID: I20221012003851 |
| Provider Name | Jillian Deniese Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013043793 PECOS PAC ID: 7416306964 Enrollment ID: I20231211000279 |
| Provider Name | Patrena D Tabron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750590733 PECOS PAC ID: 3870944812 Enrollment ID: I20240104000331 |
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