Healthcare Provider Details

I. General information

NPI: 1831001544
Provider Name (Legal Business Name): ESAU BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 W KINGSHIGHWAY STE 9
PARAGOULD AR
72450-3987
US

IV. Provider business mailing address

2210 W KINGSHIGHWAY STE 9
PARAGOULD AR
72450-3987
US

V. Phone/Fax

Practice location:
  • Phone: 870-476-8942
  • Fax:
Mailing address:
  • Phone: 870-476-8942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MELINDA G BECKNELL
Title or Position: MSN, CNP, PMHNP-BC
Credential: MSN, CNP, PMHNP-BC
Phone: 870-476-8942