Organization
BOECKMANN BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BLAKE BOECKMANN (OWNER)
(870) 208-3501
Entity
Organization
Contact information
Practice address
1687 S HARDING PL, FAYETTEVILLE, AR 72701-7030
(870) 208-3501
(870) 208-3501
Mailing address
1687 S HARDING PL, FAYETTEVILLE, AR 72701-7030
(870) 208-3501
(870) 208-3501
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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