Organization
TEAXARKANA BEHAVIORAL ASSOCIATES, LC
Active
Other names
VISTA HEALTH NASHVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. FARLEY (VICE PRESIDENT & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
1575 HIGHWAY 371 W, NASHVILLE, AR 71852-7598
(870) 451-9742
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
AR
05
—
PENDING
—
AR
Enumeration date
07/24/2008
Last updated
01/05/2026
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