Healthcare Provider Details

I. General information

NPI: 1013828847
Provider Name (Legal Business Name): NOVEL HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CRESTVIEW DR
PARAGOULD AR
72450-4838
US

IV. Provider business mailing address

3306 WOODWYN LN
PARAGOULD AR
72450-8045
US

V. Phone/Fax

Practice location:
  • Phone: 870-595-4261
  • Fax:
Mailing address:
  • Phone: 870-595-4261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KELSEY I ADCOCK
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 870-595-4261