Behavioral Health Services of West Memphis LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

BEHAVIORAL HEALTH SERVICES OF WEST MEMPHIS LLC

Practice address

410 S Avalon St
West Memphis, AR 72301-4183

Phone

(561) 461-3791

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Kirill Vesselov

Title

President

Phone

(561) 461-3791

Specialties & licenses 1

Addresses

Tax ID family

Behavioral Health Services of West Memphis LLC2 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.

• Behavioral Health Services of West Memphis LLC

  • Substance Abuse Rehabilitation Facility
  • West Memphis, AR
  • NPI 1821777566
  NPD tax ID

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1144169079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014183",
            "telephone_number": "561-461-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES OF WEST MEMPHIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-461-3791"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hubert Bass
• Mario Bass
• Shakita Baxter
• Lenora Beason
• Ashley Nicole Beecroft, APRN
• Behavioral Health Services of West Memphis LLC
• Behavioral Health WM Operating Subsidiary, LLC
• Latasha Bell
• Brookelyn Marie Bellah, OTR/L
• Hannah Benedetti

• Psychiatric Hospital in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Psychiatric Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.