Randolph'S Professional Treatment Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0309038 Issued in AR

Legal business name

RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC

Practice address

6801 Isaacs Orchard Rd
Ste. 215
Springdale, AR 72762-6545

Phone

(479) 725-3813

Fax

(479) 419-4046

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Brannon Randolph, MBA, MS, LPC

Title

President/Ceo

Phone

(479) 725-3813

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1508183013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 ISAACS ORCHARD RD",
            "address_2": "STE. 215",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626545",
            "telephone_number": "479-725-3813",
            "fax_number": "479-419-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ISAACS ORCHARD RD",
            "address_2": "STE. 215",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626545",
            "telephone_number": "479-725-3813",
            "fax_number": "479-419-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH'S PROFESSIONAL TREATMENT SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRANNON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "479-725-3813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0309038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181106719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danae Ranck
• Randal S Kimbrough DDS PA
• Randal S. Kimbrough
• Teqienna Dianne Randall, NP
• Joseph Brannon Randolph, MS, MBA, LPC
• Aubree Rankin
• Joshua David Rankin, MD
• Lindsay Christine Rankin
• Jessica Nichole Ratkovic, CRNA
• Pamela Diane Ratliffe-Warner, MHPP

• Professional Counselor in Springdale, AR
• Providers in Springdale, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.