Marianna Outpatient Program
LBN: Life Strategies Of Arkansas
Marianna Outpatient Program is an health care organization with primary practice located at 703 Calvin Avery Dr , West Memphis AR 72301-6501. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Life Strategies Of Arkansas can be contacted via phone (870) 732-1817, or through Pounds, Shella via phone (870) 735-0300.
Contact Information
Primary practice address
703 Calvin Avery Dr
West Memphis AR 72301-6501
Phone: (870) 732-1817
Fax: (870) 702-7111
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 171504526 | Arkansas |
Profile Details
NPI number | 1326284266 |
---|---|
LBN Legal business name | Life Strategies Of Arkansas |
DBA Doing business as | Marianna Outpatient Program |
Authorized official | Pounds, Shella Registered Nurse (RN) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Dec 24th, 2008 |
Last updated | Aug 12th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326284266 | NPPES |
Arkansas | MEDICAID | 171504526 |
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