Organization
RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BRANNON RANDOLPH MBA, MS, LPC (PRESIDENT/CEO)
(479) 725-3813
Entity
Organization
Contact information
Practice address
6801 ISAACS ORCHARD RD, STE. 215, SPRINGDALE, AR 72762-6545
(479) 725-3813
(479) 419-4046
Mailing address
6801 ISAACS ORCHARD RD, STE. 215, SPRINGDALE, AR 72762-6545
(479) 725-3813
(479) 419-4046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0309038
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181106719
—
AR
Enumeration date
04/23/2010
Last updated
12/10/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up