Healthcare Provider Details

I. General information

NPI: 1407663305
Provider Name (Legal Business Name): 201 BEHAVIORAL HEALTH & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N SLEMONS ST
MONTICELLO AR
71655-4326
US

IV. Provider business mailing address

201 N SLEMONS ST
MONTICELLO AR
71655-4326
US

V. Phone/Fax

Practice location:
  • Phone: 870-723-9049
  • Fax: 870-224-8059
Mailing address:
  • Phone: 870-723-9049
  • Fax: 870-224-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENISE COURTNEY
Title or Position: CEO
Credential:
Phone: 870-723-9049