Arkansas Behavioral Impact, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-2137 Issued in AR

Legal business name

ARKANSAS BEHAVIORAL IMPACT, INC.

Doing business as

Arkansas Behavioral Impact

Practice address

6705 W 12TH St
Little Rock, AR 72204-1515

Phone

(501) 265-0255

Fax

(501) 265-0225

NPI assigned

Mar 1, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Frans, PHD,LCSW,LADAC

Title

President

Phone

(501) 454-4354

Specialties & licenses 1

Addresses

Other names 1

• Arkansas Behavioral Impact Doing business as

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1831439769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56751",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156751",
            "telephone_number": "501-454-4354",
            "fax_number": "501-265-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041515",
            "telephone_number": "501-265-0255",
            "fax_number": "501-265-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS BEHAVIORAL IMPACT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "FRANS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-454-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,LCSW,LADAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "C-2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Behavioral Impact",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.