Birch Tree Communities Inc
Organization Active NPI Community/Behavioral Health Agency · Conway, AR
NPI 1770733768 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1770733768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BIRCH TREE COMMUNITIES INC
- Practice address
- 132 Lower Ridge Rd
Conway, AR 72032-8518 - Phone
- (501) 548-9905
- NPI assigned
- Sep 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Priscilla Trudell
- Title
- Health Information Director
- Phone
- (501) 303-3115
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 27
Practitioners 42
-
Dustin Baker, RECOVERY ASSISTANT
-
Andrew Donovan, LAC
-
Christopher Jackson, LAC
-
Andrew Jay Keough, LCSW
-
Emily King, RN
-
Coy Price, LCSW
-
Brandon Williams, LMSW
-
Kenneth D. Wright, M.D.
-
Audra Renae Hatchett, LCSW
-
Jennifer M Sweet, LAC
-
Merinda Jackson, LAC
-
Joli Michelle Lewis, LPC, LADAC
-
Christie Owen, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615001261 | AR | Part B Supplier - Clinic/Group Practice | 5597749747 |
Receives reassigned benefits from 24 practitioners 12 other NPIs on this enrollment Practice locations: Russellville, AR; Oxford, AR; Newport, AR; Mt View, AR; Malvern, AR; Conway, AR; Clarksville, AR; Benton, AR… |
National Provider Directory
- Tax ID family
- Birch Tree Communities Inc
Locations
1506 Mary Kay Blvd
Benton, AR 72015
Phone (501) 303-1665
522 Mill Rd
Clarksville, AR 72830
Phone (479) 705-1301
132 Lower Ridge Rd
Bldg 1
Conway, AR 72032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | AR | Yes |
Addresses
Primary practice location
132 Lower Ridge Rd
Conway, AR 72032-8518
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171628526 | Medicaid | AR |
Other names
- Conway Branch
Other providers in Conway, AR
- Janiya L Biddle
- Arianna Miyoko Bierle
- Jennifer Biggers
- Billy R McBay MD PA
- Mason Douglas Binns
- Birch Tree Communities, Inc.
- Whitney Birch
- Bird and Bear Medical, LLC
- Olivia Grace Bird
- Birth by Design Birth Services
All providers in Conway, 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 Feb 9, 2026. 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.