The Guidance Center - Waldron Clinic
Organization Active NPI Community/Behavioral Health Agency · Waldron, AR
NPI 1649445859 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1649445859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- THE GUIDANCE CENTER - WALDRON CLINIC
- Practice address
- 1857 Rice Street
Waldron, AR 72958 - Phone
- (479) 452-6650
- Fax
- (479) 785-9495
- NPI assigned
- Apr 29, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC
Authorized official
- Name
- Aaron L. 'Rusti' Holwick
- Title
- Ceo
- Phone
- (479) 452-6650
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 29
Practitioners 21
-
Kellie L Berry-Hert, NURSE PRACTITIONER
-
Caleb Clingan, QBHP
-
Lakin Dean, LPC
-
James Gattis, APN
-
Cynthia McLellan, LCSW
-
Chelsea Neal, LPC
-
Kathy Yvonne Brown, QBHP
-
Vicki Loyd, QBHP
-
Shanika Royal, QBHP
-
Chastity QG Stephens, APRN
-
Shelby Trammel, QBHP
-
Marlene S Whittaker, QBHP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040623001595 | AR | Part B Supplier - Clinic/Group Practice | 1355326174 |
Receives reassigned benefits from 109 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Booneville, AR; Fort Smith, AR; Mena, AR; Ozark, AR; Paris, AR; Van Buren, AR; Waldron, AR |
National Provider Directory
- Tax ID family
- The Guidance Center - Whole Health
- Part of
- The Guidance Center - Whole Health
Locations
3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490
415 S 6th St
Paris, AR 72855
Phone (479) 963-2140
2705 Oak Ln
Van Buren, AR 72956
Phone (479) 471-5950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1857 Rice Street
Waldron, AR 72958
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137450726 | Medicaid | AR |
Other names
- WACGC - Scott County Clinic
- WACGC - Waldron Clinic
Other providers in Waldron, AR
- Donald Patrick Smith
- State of Arkansas
- Marcee Stewart
- Jordyn Elizabeth Temple
- The Guidance Center - Scott County Sats
- Transitions Mental Health Services
- Erica Truelove
- Morgan Wadkins
- Waldron Family Dentistry PLLC
- Waldron Healthcare LLC
All providers in Waldron, AR · Community/Behavioral Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.