NPIMap

Organization Active NPI

Reframe Family Therapy LLC

  • Adult Mental Health Clinic/Center
  • Malvern, AR
National Provider Identifier
1588357768
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REFRAME FAMILY THERAPY LLC
Practice address
1910 Shady LN
Malvern, AR 72104-6041
Phone
(501) 802-0107
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Courtney Elizabeth Bacon-Latina, LPC, LMFTNPI 1922649532
Title
Therapist; Owner
Phone
(501) 802-0107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1910 Shady LN
Malvern, AR 72104-6041

Mailing address

1910 Shady LN
Malvern, AR 72104-6041
Phone (501) 802-0107

Other practice location 1

810 W Washington St
Camden, AR 71701-3380
Phone (501) 802-0107

National Provider Directory

National Provider Directory
Tax ID family
Reframe Family Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 W Washington St
Camden, AR 71701
Phone (501) 802-0107

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1588357768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SHADY LN",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046041",
            "telephone_number": "501-802-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SHADY LN",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721046041",
            "telephone_number": "501-802-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717013380",
            "country_code": "US",
            "telephone_number": "501-802-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFRAME FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "BACON-LATINA",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST; OWNER",
        "authorized_official_telephone_number": "501-802-0107",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.