Organization Active NPI

Mulberry Lodge CSSP, LLC

  • Community/Behavioral Health Agency
  • Mulberry, AR
National Provider Identifier
1689546368
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MULBERRY LODGE CSSP, LLC
Practice address
949 N Main St
Mulberry, AR 72947-8538
Phone
(479) 997-8001
Fax
(479) 997-1255
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Claude Bryant
Title
Regional Admin / Owner
Phone
(479) 650-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

949 N Main St
Mulberry, AR 72947-8538

Mailing address

6500 Rye Hill Rd E
Fort Smith, AR 72916-8397
Phone (479) 650-7083

National Provider Directory

National Provider Directory

Locations

949 N Main St
Mulberry, AR 72947
Phone (479) 997-2766

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1689546368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RYE HILL RD E",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168397",
            "telephone_number": "479-650-7083",
            "fax_number": "479-431-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N MAIN ST",
            "city": "MULBERRY",
            "state": "AR",
            "postal_code": "729478538",
            "telephone_number": "479-997-8001",
            "fax_number": "479-997-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY LODGE CSSP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "REGIONAL ADMIN / OWNER",
        "authorized_official_telephone_number": "479-650-7083"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mulberry, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.