NPIMap

Organization Active NPI

Life Strategies of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Memphis, AR
National Provider Identifier
1326284266
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
171504526 Issued in AR
Legal business name
LIFE STRATEGIES OF ARKANSAS
Practice address
703 Calvin Avery Dr
West Memphis, AR 72301-6501
Phone
(870) 732-1817
Fax
(870) 702-7111
NPI assigned
Dec 24, 2008
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFE STRATEGIES OF ARKANSAS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Ms. Shella Pounds, RNNPI 1629509765
Title
Compliance Officer
Phone
(870) 735-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 171504526 AR Primary

Addresses

Primary practice location

703 Calvin Avery Dr
West Memphis, AR 72301-6501

Mailing address

63 N Carolina St
Marianna, AR 72360-2002
Phone (870) 295-3300

Other identifiers 1

IdentifierTypeStateIssuer
171504526MedicaidAR

Other names 1

  • Marianna Outpatient Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Strategies of Arkansas7 organizations share this tax ID, including this one
Part of
Life Strategies of Arkansas

Other organizations with this tax ID 6

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

Locations

63 N Carolina St
Marianna, AR 72360
Phone (870) 295-3300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1326284266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N CAROLINA ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602002",
            "telephone_number": "870-295-3300",
            "fax_number": "870-295-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CALVIN AVERY DR",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723016501",
            "telephone_number": "870-732-1817",
            "fax_number": "870-702-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STRATEGIES OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE STRATEGIES OF ARKANSAS LLC",
        "enumeration_date": "2008-12-24",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "870-735-0300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "171504526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171504526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marianna Outpatient Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.