Healthcare Provider Details

I. General information

NPI: 1699637736
Provider Name (Legal Business Name): OPEN ARMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 S CARAWAY RD STE 5
JONESBORO AR
72404-0754
US

IV. Provider business mailing address

3704 S CARAWAY RD STE 5
JONESBORO AR
72404-0754
US

V. Phone/Fax

Practice location:
  • Phone: 87-091-9563
  • Fax:
Mailing address:
  • Phone: 870-919-5631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERICA WALTER
Title or Position: LICENSED PROFESSIONAL COUNSELOR (LP
Credential:
Phone: 870-707-1467