Healthcare Provider Details

I. General information

NPI: 1134347818
Provider Name (Legal Business Name): ADVANTAGES OF SOUTHEAST ARKANSAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 W COLLEGE AVE
MONTICELLO AR
71655
US

IV. Provider business mailing address

PO BOX 359
MONTICELLO AR
71657-0359
US

V. Phone/Fax

Practice location:
  • Phone: 870-367-6825
  • Fax: 870-367-0140
Mailing address:
  • Phone: 870-367-6825
  • Fax: 870-367-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGIE BURTON
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 870-367-6825