Organization · Type 2 NPI

Northeast Arkansas Community Mental Health Center Inc

Community/Behavioral Health Agency · Corning, AR

NPI number 1104077676 Active

Practice location

602 David St
Corning, AR 72422-7268

Call (870) 857-3655 Map

Fax (870) 972-4911

Mailing address

2707 Browns Ln
Jonesboro, AR 72401-7213

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
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…

94 other providers at this address

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NPI record

NPI: 1104077676
Entity type: Organization (Type 2)
Issued: Oct 2, 2008
Last updated: Apr 22, 2022
Status: Active
Subpart: Yes of Northeast Arkansas Community Mental Health Center Inc

Other names

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Mid South Health Systems, Inc. · doing business as
Mid South Health Systems, Inc. · doing business as

Authorized official

Donnie Lyerly
Provider Credentialing
(870) 972-4939

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 1104077676

Northeast Arkansas Community Mental Health Center Inc's National Provider Identifier is 1104077676, issued on Oct 2, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Corning, AR. The record was last updated on Apr 22, 2022.