Conway County Community Service Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONWAY COUNTY COMMUNITY SERVICE INC

Practice address

200 Highway 43 E Ste 7
Harrison, AR 72601-2166

Phone

(870) 280-3468

Fax

(870) 280-3468

NPI assigned

Oct 25, 2022

Reactivated

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Lynn Wheat

Title

PA/Credentialing Clerk

Phone

(501) 354-4589

Specialties & licenses 1

Addresses

Other names 1

• Community Service, Inc Other name

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1265159750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100679",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHWAY 43 E STE 7",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012166",
            "telephone_number": "870-280-3468",
            "fax_number": "870-280-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY COUNTY COMMUNITY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-10-07",
        "certification_date": "2022-10-19",
        "deactivation_date": "2026-01-13",
        "reactivation_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PA/CREDENTIALING CLERK",
        "authorized_official_telephone_number": "501-354-4589"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Service, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Charlene Collins, LPN
• Kim Colliver, MHPP
• Mary K Colliver
• Veronica R Combs, MSW, LCSW
• Christy Nicole Conner
• Conway County Community Service, Inc
• Debra Cook
• Jamie Cooley
• Amanda Cope, CNP
• Shelia Corder, MHPP

• Community/Behavioral Health Agency in Harrison, AR
• Providers in Harrison, 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 Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.