NPIMap

Organization Active NPI

Living Hope Southwest Medical Services

  • Health Psychologist
  • Texarkana, AR
National Provider Identifier
1104041425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
AR3925 Issued in AR
Legal business name
LIVING HOPE SOUTHWEST MEDICAL SERVICES
Practice address
801 Arkansas Blvd
Texarkana, AR 71854-2107
Phone
(870) 774-4673
Fax
(870) 774-9313
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cindy L Lavassar
Title
Business Office Director
Phone
(903) 793-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0004X AR3925 AR Primary

Addresses

Primary practice location

801 Arkansas Blvd
Texarkana, AR 71854-2107

Mailing address

801 Arkansas Blvd
Texarkana, AR 71854-2107
Phone (870) 774-4673

National Provider Directory

National Provider Directory
Tax ID family
Living Hope Southwest Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-5028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104041425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542107",
            "telephone_number": "870-774-4673",
            "fax_number": "870-774-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542107",
            "telephone_number": "870-774-4673",
            "fax_number": "870-774-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE SOUTHWEST MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVASSAR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "903-793-4673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "AR",
            "license": "AR3925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.