Healthcare Provider Details

I. General information

NPI: 1972159267
Provider Name (Legal Business Name): ARKANSAS BAPTIST CHILDREN'S HOMES AND FAMILY MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 W MARKHAM ST
LITTLE ROCK AR
72205-2123
US

IV. Provider business mailing address

PO BOX 30022
LITTLE ROCK AR
72260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 501-737-4320
  • Fax: 870-770-7177
Mailing address:
  • Phone: 501-737-4320
  • Fax: 870-770-7177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY ROPP
Title or Position: BILLING ASSISTANT SUPERVISOR
Credential:
Phone: 501-737-4320