Teen Challenge Women'S Ministries

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TEEN CHALLENGE WOMEN'S MINISTRIES

Practice address

618 S Knoxville Ave
Russellville, AR 72801-6419

Phone

(479) 967-1428

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Kate Riggs

Title

Cfo

Phone

(479) 967-1428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1730640558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S KNOXVILLE AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S KNOXVILLE AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016419",
            "telephone_number": "479-967-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN CHALLENGE WOMEN'S MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-967-1428"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Taylor
• Shannon Rae Taylor, APN
• Stephanie Pierce Taylor, LCSW
• Theressa Rose Taylor, LAC, CRC
• Trinity Kaelyn Taylor
• Teesha a. Finkbeiner, LCSW, P.a.
• Elizabeth Teeter
• Stanley Dane Teeter, M.D.
• Brittany Thacker, LPN
• Mikel Thacker, PT

• Substance Abuse Rehabilitation Facility in Russellville, AR
• Providers in Russellville, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.