Shannon Beaney, QBHP

Individual provider Active NPI Case Manager/Care Coordinator · Little Rock, AR

NPI 1679461925 · NPPES record last updated Jun 25, 2025

Key facts

NPI
1679461925
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
6501 W 12TH St
Little Rock, AR 72204-1511
Phone
(501) 666-8686
Fax
(501) 660-6832
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

6501 W 12TH St
Little Rock, AR 72204-1511

Mailing address

PO Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

Other practice location 1

6601 W 12th St
Little Rock, AR 72204-1513
Phone (501) 666-8686

Other providers in Little Rock, AR

All providers in Little Rock, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.