MEDICARE: CONWAY BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	283Q00000X	Psychiatric Hospital
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1245728484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONWAY BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	4020 ASPEN GROVE DR STE 900
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-3134
Country	:	US
Telephone Number	:	615-861-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 STURGIS RD
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034
Country	:	US
Telephone Number	:	501-205-0011
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT & SECRETARY
Name	:	MR. BRIAN P. FARLEY
Credential	:
Telephone Number	:	615-861-6000

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	12/30/2025

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