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NPI Code Detail

MEDICARE: TEXARKANA BEHAVIORAL ASOCIATES LC

MEDICARE: TEXARKANA BEHAVIORAL ASOCIATES LC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment FacilityAR4151AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316071228
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXARKANA BEHAVIORAL ASOCIATES LC
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 : 615-861-6000
Fax Number :
Provider Business Practice Location Address
First Line : 10301 MAYO DR
Second Line :
City : BARLING
State : AR
Zip : 72923-1660
Country : US
Telephone Number : 479-494-5700
Fax Number : 479-484-8142
Authorized Official
Title or Position : VICE PRESIDENT & SECRETARY
Name : BRIAN P. FARLEY
Credential :
Telephone Number : 615-861-7566
Provider Enumeration Date : 03/15/2007
Last Update Date : 01/06/2026

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Directions to “TEXARKANA BEHAVIORAL ASOCIATES LC ” Practice Location

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