Teen Therapy Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TEEN THERAPY SERVICES LLC

Practice address

5004 S U St Ste 202
Fort Smith, AR 72903-3600

Phone

(479) 763-7266

Fax

(866) 474-4041

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Melanie K Taylor, LPCNPI 1689979783

Title

Owner

Phone

(479) 763-7266

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Kay Taylor, LPC

  • Mental Health Counselor
  • Fort Smith, AR
  • NPI 1689979783
  NPD Authorized official

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1205448370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 CARRINGTON POINTE RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035693",
            "telephone_number": "479-763-7266",
            "fax_number": "866-474-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 S U ST STE 202",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033600",
            "telephone_number": "479-763-7266",
            "fax_number": "866-474-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-763-7266",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalisha Taylor, QBHP
• Nathan T Taylor, MD
• Rachel Taylor, QBHP
• TBD Health Enterprises of Arkansas PLLC (Arkansas Pain Specialists)
• Makayla Teague
• Mark D Teeter, M.D.
• Pedro L Tena, COTA/L
• John D. Terrell, MD
• Terry Brackman DO Inc. (Brackman Family Practice)
• Alexsia Terry

• Mental Health Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.