Healthcare Provider Details

I. General information

NPI: 1932119187
Provider Name (Legal Business Name): THE LOGAN CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 E HIGHLAND DR STE B
JONESBORO AR
72401-6491
US

IV. Provider business mailing address

PO BOX 11064
FAYETTEVILLE AR
72703-1001
US

V. Phone/Fax

Practice location:
  • Phone: 870-520-5014
  • Fax: 870-520-5015
Mailing address:
  • Phone: 870-520-5014
  • Fax: 870-520-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHANNON SHERMAN
Title or Position: CEO
Credential:
Phone: 870-520-5014