Healthcare Provider Details

I. General information

NPI: 1801755905
Provider Name (Legal Business Name): ATR RESOURCE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 E WHITE MOUNTAIN BLVD SUITE A
PINETOP AZ
85935-7002
US

IV. Provider business mailing address

858 E WHITE MOUNTAIN BLVD SUITE A
PINETOP AZ
85935-7002
US

V. Phone/Fax

Practice location:
  • Phone: 928-500-7127
  • Fax:
Mailing address:
  • Phone: 928-500-7127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DORRENDA ARAE SMITH
Title or Position: DIRECTOR
Credential:
Phone: 602-628-0601