Organization
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Active
Parent organization
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Other names
MidSouth Health Systems
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Authorized official
DONNIE LYERLY (CREDENTIALING)
(870) 972-4939
Entity
Organization
Contact information
Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-4511
(870) 735-5260
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(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
—
18417774
—
AR
Enumeration date
05/25/2011
Last updated
12/12/2012
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