NPIMap

Organization Active NPI

Life Strategies of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wynne, AR
National Provider Identifier
1881830727
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
171535526 Issued in AR
Legal business name
LIFE STRATEGIES OF ARKANSAS
Practice address
1718 Falls Blvd N
Wynne, AR 72396-4022
Phone
(870) 238-4014
Fax
(870) 238-4231
NPI assigned
Dec 24, 2008
Organization subpart
Yes
Parent organization
LIFE STRATEGIES OF ARKANSAS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Ms. Shella Pounds, RNNPI 1629509765
Title
Compliance Officer
Phone
(870) 732-1878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 171535526 AR Primary

Addresses

Primary practice location

1718 Falls Blvd N
Wynne, AR 72396-4022

Mailing address

703 Calvin Avery Dr
Suite a
West Memphis, AR 72301-6501
Phone (870) 732-1878

Other identifiers 1

IdentifierTypeStateIssuer
171535526MedicaidAR

Other names 1

  • Wynne Outpatient Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Life Strategies of Arkansas7 organizations share this tax ID, including this one
Part of
Life Strategies of Arkansas

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1881830727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CALVIN AVERY DR",
            "address_2": "SUITE A",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723016501",
            "telephone_number": "870-732-1878",
            "fax_number": "870-702-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964022",
            "telephone_number": "870-238-4014",
            "fax_number": "870-238-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STRATEGIES OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE STRATEGIES OF ARKANSAS LLC",
        "enumeration_date": "2008-12-24",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "870-732-1878",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "171535526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171535526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynne Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.