Organization
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
Active
Parent organization
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
Other names
Mid-South Health Systems, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
Authorized official
DONNIE J LYERLY (PROVIDER CREDENTIALING)
(870) 972-4939
Entity
Organization
Contact information
Practice address
102 SOUTH LARKSPUR, WALNUT RIDGE, AR 72476-1736
(870) 886-7924
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 886-7924
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172107526
—
AR
Enumeration date
10/03/2008
Last updated
04/22/2022
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