MEDICARE: TEXARKANA BEHAVIORAL ASSOCIATES, L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	AR	BLUE CROSS GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841216538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXARKANA BEHAVIORAL ASSOCIATES, L.C.

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 ARKANSAS BOULEVARD
Second Line	:
City	:	TEXARKANA
State	:	AR
Zip	:	71854
Country	:	US
Telephone Number	:	870-772-5028
Fax Number	:	870-774-1146

Authorized Official
Title or Position	:	VICE PRESIDENT & SECRETARY
Name	:	BRIAN P. FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	01/05/2026

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