Basic Information
Provider Information
NPI: 1821533159
EntityType: 2
ReplacementNPI:  
OrganizationName: FAMILIES, INC. OF ARKANSAS
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: FAMILIES, INC.
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1815 PLEASANT GROVE RD
Address2:  
City: JONESBORO
State: AR
PostalCode: 724057870
CountryCode: US
TelephoneNumber: 8709336886
FaxNumber: 8709339395
Practice Location
Address1: 111 S 3RD AVE
Address2:  
City: PIGGOTT
State: AR
PostalCode: 724542634
CountryCode: US
TelephoneNumber: 8709336886
FaxNumber: 8709339395
Other Information
ProviderEnumerationDate: 12/22/2016
LastUpdateDate: 03/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: THURMAN
AuthorizedOfficialFirstName: MARK
AuthorizedOfficialMiddleName: A.
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 8709336886
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QM0801X  Y Ambulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)

No ID Information.


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