South Arkansas Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH ARKANSAS YOUTH SERVICES

Practice address

301 Boundary St
Magnolia, AR 71753-3305

Phone

(870) 234-2600

Fax

(870) 234-2606

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Angela Sharp

Title

Clinic Coordinator

Phone

(870) 234-2600

Specialties & licenses 1

Addresses

Tax ID family

South Arkansas Youth Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• South Arkansas Youth Services

  • Case Management Agency
  • Magnolia, AR
  • NPI 1740414978
  NPD tax ID
• South Arkansas Youth Services, Inc.

  • Case Management Agency
  • Magnolia, AR
  • NPI 1811178841
  NPD tax ID

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1609235407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BOUNDARY ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533305",
            "telephone_number": "870-234-2600",
            "fax_number": "870-234-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BOUNDARY ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533305",
            "telephone_number": "870-234-2600",
            "fax_number": "870-234-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "870-234-2600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia R Smith
• Mary Cynthia Snider, LPC, LADAC
• Robert Charles Snider, MHPP
• Sotto International, Inc.
• South Arkansas Regional Health Center Magnolia Clinic
• South Arkansas Youth Services
• South Arkansas Youth Services, Inc.
• Southern Arkansas University
• Southern Arkansas University
• Southern Caregivers, LTD

• Community/Behavioral Health Agency in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.