Resurgent MHT

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

A003818 Issued in AR

Legal business name

RESURGENT MHT

Practice address

593 S Horsebarn Rd
Rogers, AR 72758-8795

Phone

(479) 657-4636

NPI assigned

Apr 8, 2016

Organization subpart

No

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

Authorized official

Name

Donald E Wleklinski, APRN

Title

Owner

Phone

(479) 220-2772

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1366806945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RAVENWOOD RD",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727615550",
            "telephone_number": "479-220-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588795",
            "telephone_number": "479-657-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENT MHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "WLEKLINSKI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-220-2772",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "A003818",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AR",
            "license": "A003818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Adult Mental Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.