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NPI Code Detail

MEDICARE: ARKANSAS HEALTH GROUP

MEDICARE: ARKANSAS HEALTH GROUP
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
1103TR0400XRehabilitation Psychologist
21041C0700XClinical Social Worker
3103G00000XClinical Neuropsychologist
4363LP0808XPsychiatric/Mental Health Nurse Practitioner
52084P0804XChild & Adolescent Psychiatry Physician
6101YM0800XMental Health Counselor
7101YP2500XProfessional Counselor
8103T00000XPsychologist
92084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1871959874
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS HEALTH GROUP
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-202-7587
Fax Number : 501-202-7513
Provider Business Practice Location Address
First Line : 3345 HIGHWAY 5 N STE 200
Second Line :
City : BRYANT
State : AR
Zip : 72019-9031
Country : US
Telephone Number : 501-202-7587
Fax Number : 501-202-7513
Authorized Official
Title or Position : CEO
Name : WILL RUSHER
Credential :
Telephone Number : 501-812-7509
Provider Enumeration Date : 01/06/2016
Last Update Date : 05/21/2026

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