Healthcare Provider Details

I. General information

NPI: 1740473560
Provider Name (Legal Business Name): TEXARKANA BEHAVIORAL ASSOCIATES, L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 SAW GRASSE POINT
HARRISON AR
72601
US

IV. Provider business mailing address

4020 ASPEN GROVE DR STE 900
FRANKLIN TN
37067-3134
US

V. Phone/Fax

Practice location:
  • Phone: 479-521-5731
  • Fax: 479-521-7683
Mailing address:
  • Phone: 615-861-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: BRIAN P. FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000