Boeckmann Behavioral Services LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fayetteville, AR
NPI 1497619290 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1497619290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BOECKMANN BEHAVIORAL SERVICES LLC
- Practice address
- 1687 S Harding PL
Fayetteville, AR 72701-7030 - Phone
- (870) 208-3501
- Fax
- (870) 208-3501
- NPI assigned
- Dec 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Shannon Blake Boeckmann
- Title
- Owner
- Phone
- (870) 208-3501
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1687 S Harding PL
Fayetteville, AR 72701-7030
Mailing address
1687 S Harding PL
Fayetteville, AR 72701-7030
Phone (870) 208-3501
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All providers in Fayetteville, AR · Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.