Vera Lloyd Presbyterian Family Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10071 Issued in AR

Legal business name

VERA LLOYD PRESBYTERIAN FAMILY SERVICES, INC.

Practice address

713 Old Warren Rd
Monticello, AR 71655-9713

Phone

(870) 367-9035

Fax

(870) 367-9038

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Mahurin

Title

Chief Executive Officer

Phone

(501) 666-8195

Specialties & licenses 2

Addresses

Other names 1

• Vera Lloyd Presbyterian Home & Family Services, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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

• Tracey M Bratton, LCSW

  • Clinical Social Worker
  • Monticello, AR
  • NPI 1881032225

  AR

  Medicare reassignment NPD
• Althea T Conley, MD., PH.D.

  • Psychiatry Physician
  • Warren, AR
  • NPI 1114995198

  AR

  Medicare reassignment NPD
• Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1043867914

  AR

  Medicare reassignment NPD
• Lisa Kilcrease, LCSW

  • Clinical Social Worker
  • Monticello, AR
  • NPI 1053439836

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1376743641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N. UNIVERSITY AVE., SUITE 345",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075278",
            "telephone_number": "501-666-8195",
            "fax_number": "501-666-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559713",
            "telephone_number": "870-367-9035",
            "fax_number": "870-367-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA LLOYD PRESBYTERIAN FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "MAHURIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-666-8195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "10071",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vera Lloyd Presbyterian Home & Family Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vera Lloyd Presbyterian Home & Family Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jeannie Rebecca Tucker, LCSW
• Christal Michelle Turner, MHPP
• Juanita B Turner, LMSW
• Lindsey Ray Tyson, PT
• University of Arkansas at Monticello
• Emily Vickers, COTA
• Jennifer Elizabeth Vicknair, CRNA
• Amanda Vincent
• Walgreen Co
• Karen Sue Walker, LCSW

• All providers in Monticello, AR
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.