Active NPI
Arrowstar Living Assistance Services
- Community/Behavioral Health Agency
- Lake Village, AR
National Provider Identifier
1952964140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ARROWSTAR LIVING ASSISTANCE SERVICES
- Practice address
- 1659 S Highway 65 82
Lake Village, AR 71653-1661 - Phone
- (870) 632-7099
- NPI assigned
- Apr 15, 2019
- Last updated
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ethel Fredrickson
- Title
- Ceo
- Phone
- (870) 632-7099
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1659 S Highway 65 82
Lake Village, AR 71653-1661
Mailing address
412 N Highway 65 82
Lake Village, AR 71653-1661
Phone (870) 632-7099
National Provider Directory
National Provider DirectoryLocations
1659 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-4191
412 N Highway 65
#82
Lake Village, AR 71653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1952964140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N HIGHWAY 65 82",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716531661",
"telephone_number": "870-632-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1659 S HIGHWAY 65 82",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716531661",
"telephone_number": "870-632-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARROWSTAR LIVING ASSISTANCE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-15",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "FREDRICKSON",
"authorized_official_first_name": "ETHEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-632-7099"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.