Sublette Therapeutic Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6904-C Issued in AR

Legal business name

SUBLETTE THERAPEUTIC SERVICES, PLLC

Practice address

2001 Club Manor Dr
Suite D
Maumelle, AR 72113-7411

Phone

(501) 352-2429

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Charles Sublette, LCSWNPI 1295176444

Title

Owner

Phone

(501) 352-2429

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Charles Sublette, LCSW

  • Clinical Social Worker
  • Maumelle, AR
  • NPI 1295176444
  NPD (past) Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1881132876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BELLE RIVER CV",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137024",
            "telephone_number": "501-352-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "address_2": "SUITE D",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137411",
            "telephone_number": "501-352-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLETTE THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "SUBLETTE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-352-2429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "6904-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamron Steed, PMHNP-BC
• Stepping Stones Therapy Services
• Cindy M Stone, APRN
• Stonehaven Assisted Living, LLC
• Shauna Storey, LPN
• Bradley Charles Sublette, LCSW
• Supermarket Investors Inc
• Anna Szwedo, M.D.
• Chadwick Dean Taylor, D.C.
• Erica N Taylor, APRN

• Community/Behavioral Health Agency in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.