Arkansas Therapy Source, Llc

LBN: Arkansas Therapy Source, Llc
Arkansas Therapy Source, Llc is an health care organization with primary practice located at 116 Valderrama Dr , Benton AR 72015-8971. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Arkansas Therapy Source, Llc can be contacted via phone (501) 249-8649, or through Rogers, Jennifer Christy via phone (501) 249-8649.

Contact Information

Primary practice address
116 Valderrama Dr Benton AR 72015-8971
Phone: (501) 249-8649
Fax: (501) 315-0847
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Jennifer Christy M.S.,CCC-SLP
Phone: (501) 249-8649

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP2309 Arkansas

Profile Details

NPI number 1063674570
LBN Legal business name Arkansas Therapy Source, Llc
DBA Doing business as
Authorized official Rogers, Jennifer Christy M.S.,CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063674570 NPPES
Arkansas MEDICAID 165756742

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