Austin Smith, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Imboden, AR
NPI 1962931147 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1962931147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 609 W 3Rd St
Imboden, AR 72434-9099 - Phone
- (870) 869-1500
- Fax
- (870) 869-1505
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Community Counseling Corp | Current |
Accepting new patients |
Locations
609 W 3rd St
Imboden, AR 72434
Phone (870) 869-2385
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Yes |
Addresses
Primary practice location
609 W 3Rd St
Imboden, AR 72434-9099
Mailing address
609 W 3Rd St
Imboden, AR 72434-9099
Phone (870) 869-1500
Other providers in Imboden, AR
- Amy Dawn Ray
- Brenda Marie Ray
- Angela Marie Roberts
- Ashley Michelle Saylors
- Sloan-Hendrix School District
- Spring River Clinic, LLC
- Demi Stephens
- Virgie Kathleen Sundahl
- Judy Kay Swinea
- Misty Walker
All providers in Imboden, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.