Healthcare Provider Details

I. General information

NPI: 1265575237
Provider Name (Legal Business Name): ALL GOD'S CHILDREN THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N JAMES ST STE A
JACKSONVILLE AR
72076-3167
US

IV. Provider business mailing address

1106 DEER ST
CONWAY AR
72032-5414
US

V. Phone/Fax

Practice location:
  • Phone: 501-513-9555
  • Fax: 501-664-2354
Mailing address:
  • Phone: 501-513-9555
  • Fax: 501-664-2354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. QUINN MCCOY
Title or Position: OWNER, OCCUPATIONAL THERAPIEST
Credential: OTRL
Phone: 501-513-9555