Healthcare Provider Details

I. General information

NPI: 1184679060
Provider Name (Legal Business Name): BHC PINNACLE POINTE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 PATTERSON RD
LITTLE ROCK AR
72209-2430
US

IV. Provider business mailing address

6100 PATTERSON RD
LITTLE ROCK AR
72209-2430
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-6771
  • Fax: 501-663-6458
Mailing address:
  • Phone: 501-663-6771
  • Fax: 501-663-6458

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 State

VIII. Authorized Official

Name: LUCINDA DE BRUCE
Title or Position: CEO
Credential:
Phone: 501-604-4707