Organization · Type 2 NPI

Conway County Community Service Inc.

Community/Behavioral Health Agency · Conway, AR

NPI number 1053546176 Active

Practice location

818 N Creek Dr
Conway, AR 72032-4711

Fax (501) 327-9843

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

18 other providers at this address

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NPI record

NPI: 1053546176
Entity type: Organization (Type 2)
Issued: May 19, 2009
Last updated: Mar 3, 2021
Status: Active

Other names

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Community Service Inc. - Conway · other name
Community Service Inc. - Conway · other name

Authorized official

Angela Lynn Wheat
PA/credentialing Clerk
(501) 354-4589

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053546176

Conway County Community Service Inc.'s National Provider Identifier is 1053546176, issued on May 19, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Conway, AR. The record was last updated on Mar 3, 2021.