Healthcare Provider Details

I. General information

NPI: 1275478141
Provider Name (Legal Business Name): BRAIN BALANCE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HIGHWAY 25B
HEBER SPRINGS AR
72543-6417
US

IV. Provider business mailing address

PO BOX 398
HEBER SPRINGS AR
72543-0398
US

V. Phone/Fax

Practice location:
  • Phone: 501-270-5034
  • Fax: 501-391-8473
Mailing address:
  • Phone: 501-270-5034
  • Fax: 501-391-8473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN ASHLEY
Title or Position: OWNER
Credential: OTR/L
Phone: 501-270-5034