Myles Boys Recovery, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1404 Issued in AR

Legal business name

MYLES BOYS RECOVERY, INC.

Practice address

7101 W 12TH St
Suite 403
Little Rock, AR 72204-2404

Phone

(501) 265-0211

Fax

(501) 265-0292

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Joyce Randolph, MS ICADC CCDP MHPP G

Title

Chief Operating Officer

Phone

(501) 265-0211

Specialties & licenses 3

Addresses

Other names 1

• Robert L. Myles, Jr. Other name

Locations

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1104071075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST",
            "address_2": "SUITE 403",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042404",
            "telephone_number": "501-265-0211",
            "fax_number": "501-265-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST",
            "address_2": "SUITE 403",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042404",
            "telephone_number": "501-265-0211",
            "fax_number": "501-265-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLES BOYS RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "501-265-0211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS ICADC CCDP MHPP G"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "D33222",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "408-C",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert L. Myles, Jr.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela A Myers, LCSW
• Sandra Dawn Myers, LCSW
• Teagan Myers
• Cynthia Renee Myhand
• Karen Myler, LPC
• Angela Myles, M.D.
• Phillip Myton, LCSW
• Marianne Nabbout, MD
• Madeline Nachtigal, DO
• Ahad Nadeem

• Community/Behavioral Health Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.