Raven Holistic Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RAVEN HOLISTIC HEALTH LLC

Practice address

5289 Greene 628 Rd
Paragould, AR 72450-8025

Phone

(870) 245-7640

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Jeremey L Beasley, LPCNPI 1437301835

Title

Owner/Therapist

Phone

(870) 245-7640

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.

• Jeremey Beasley, LPC

  • Professional Counselor
  • Paragould, AR
  • NPI 1437301835
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1356060701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5289 GREENE 628 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508025",
            "telephone_number": "870-245-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 GREENE 628 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508025",
            "telephone_number": "870-245-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "JEREMEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "870-245-7640",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ramsey
• Lisa Randolph
• Stephanie Kay Rankin, BA
• Brandi Kay Rannals, LPC
• Mandy Raska
• Alazsia A Ravine
• Rawls Dental, PLLC
• Hunter Lane Rawls, DDS
• Realtalk With Nextstep LLC
• Rebecca Lee Ream, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Paragould, AR
• Providers in Paragould, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.