Randolph'S Professional Treatment Services, Pllc
LBN: Randolph'S Professional Treatment Services, Pllc
Randolph'S Professional Treatment Services, Pllc is an health care organization with primary practice located at 6801 Isaacs Orchard Rd Ste. 215, Springdale AR 72762-6545. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Randolph'S Professional Treatment Services, Pllc can be contacted via phone (479) 725-3813, or through Randolph, Joseph Brannon via phone (479) 725-3813.
Contact Information
Primary practice address
6801 Isaacs Orchard Rd Ste. 215
Springdale AR 72762-6545
Phone: (479) 725-3813
Fax: (479) 419-4046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P0309038 | Arkansas |
Profile Details
| NPI number | 1508183013 |
|---|---|
| LBN Legal business name | Randolph'S Professional Treatment Services, Pllc |
| DBA Doing business as | |
| Authorized official | Randolph, Joseph Brannon MBA, MS, LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Dec 10th, 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 | 1508183013 | NPPES |
| Arkansas | MEDICAID | 181106719 |
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