Habilitation Center, Llc, NPI 1952482036
Psychiatric Residential Treatment Facility in Fordyce, AR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1952482036
NPI Entity Type Organization
Provider Name Habilitation Center, Llc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1828 Industrial Dr, Fordyce, AR, US
Provider Mailing Address 6100 Tower Cir Ste 1000, Franklin, TN, US, 370671509
Is Sole Proprietor? No
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Organization Official

Official Name MR. Christopher Howard
Official Position EVP & GENERAL COUNSEL
Phone 615-861-6000

Primary Taxonomy

Taxonomy Code

323P00000X

Taxonomy Name Psychiatric Residential Treatment Facility
Classification

Psychiatric Residential Treatment Facility

Group

Residential Treatment Facilities

License No. 233
License State AR
Description A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Other Organization Name

Little Creek Behavioral Health
Other Name

Business Address

Habilitation Center, Llc
1828 Industrial Dr

Fordyce, AR, US

Phone: 870-352-8203
Fax: 870-352-5277

Mailing Address

Habilitation Center, Llc
6100 Tower Cir Ste 1000
Franklin, TN, US
ZIP 370671509
Phone: 615-861-6000

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

315P00000X

Nursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

422 AR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
135301725 AR MEDICAID 05
140531726 AR MEDICAID 05
109332213 AR MEDICAID 05

Other Providers in AR, US

NPI Name Taxonomy Address

1891181475

MRS. B.S., LAC Lakenya Danielle Mitchell

Individual

Professional Counselor

132 Lower Ridge Rd

Conway, AR

1346866647

LPC Katelynn Young

Individual

Mental Health Counselor

1312 Donaghey Ave

Conway, AR

1376280701

MD Ricky L Gable

Individual

Student in an Organized Health Care Education/Training Program

4301 W Markham St # Slot837

Little Rock, AR

1033348099

MR. OTR/L Damon James Beauchamp

Individual

Occupational Therapist

1414 S Elm St

Paris, AR

1851016547

Motor Mouth Pediatric Therapy Services, Llc

Organization

Pediatric Occupational Therapist

307 Pennington Dr Ste A

Paris, AR

1467879957

PA-C, EM-CAQ Chelsey Lee Burton

Individual

Physician Assistant

3000 Medical Center Pkwy

Bentonville, AR

1821472655

LCSW Shari K Kimball

Individual

Clinical Social Worker

1185 Highway 412 W

Siloam Springs, AR

1417584558

DR. MD Jonathan Bauer

Individual

Student in an Organized Health Care Education/Training Program

4301 W Markham St # 515

Little Rock, AR

1184349557

Ryan Staten

Individual

Behavior Technician

2846 N Garland Ave

Fayetteville, AR

1760107122

Leah M Labarba

Individual

Behavior Technician

702 Hickory St

Arkadelphia, AR

1689399040

PHARM D Natalie Denise Underwood

Individual

Pharmacist

3104 W Kingshighway

Paragould, AR

1396316725

Kennedy Coker

Individual

Behavior Technician

2328 Washington Ave

Conway, AR

1902219587

LCSW Jessica Kennington

Individual

Clinical Social Worker

4613 Parkway Dr Ste 7

Texarkana, AR

1477278828

Paige N Cromwell

Individual

Occupational Therapist

2740 College Ave

Conway, AR

1831184837

MD Ronald D. Schlabach

Individual

Family Medicine Physician

937 Highway 64 E

Alma, AR

1215664099

Momentum Therapeutic Services

Organization

Professional Counselor

2402 Wildwood Ave Ste 115

Sherwood, AR

1063137412

Elisha D Cone

Individual

Nurse Practitioner

123 Pinewood Dr

Gurdon, AR

1679221253

Agape Home Help Agency

Organization

Respite Care

116 Lake St

Parkin, AR

1780309120

OTR Delaney Willibey

Individual

Occupational Therapist

3480 Landers Rd

North Little Rock, AR

1497477814

Vine And Root Llc

Organization

Mental Health Counselor

120 Meghan Ln

Judsonia, AR

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