Organization · Type 2 NPI

1623 E 42 LLC

Community/Behavioral Health Agency · Texarkana, AR

NPI number 1437964244 Active

Practice location

1623 E 42nd St
Texarkana, AR 71854-1894

Call (870) 772-0689 Map

Mailing address

10 Shackleford Plz Ste 102
Little Rock, AR 72211-1886

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…

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About NPI 1437964244

1623 E 42 LLC's National Provider Identifier is 1437964244, issued on Feb 10, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Texarkana, AR. The record was last updated on Jul 29, 2026.