Healthcare Provider Details

I. General information

NPI: 1659980159
Provider Name (Legal Business Name): HEALING HANDS ADDICTION CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 N MARTIN ST
WARREN AR
71671-1904
US

IV. Provider business mailing address

614 N MARTIN ST
WARREN AR
71671-1904
US

V. Phone/Fax

Practice location:
  • Phone: 870-466-4400
  • Fax: 870-466-4556
Mailing address:
  • Phone: 870-466-4400
  • Fax: 870-466-4556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS OHARA
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 484-459-8363