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NPI Code Detail

MEDICARE: TEXARKANA BEHAVIORAL ASSOCIATES, L.C.

MEDICARE: TEXARKANA BEHAVIORAL ASSOCIATES, L.C.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
22084P0804XChild & Adolescent Psychiatry Physician
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1386891802
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXARKANA BEHAVIORAL ASSOCIATES, L.C.
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 : 701 ARKANSAS BLVD
Second Line :
City : TEXARKANA
State : AR
Zip : 71854-2105
Country : US
Telephone Number : 870-772-5028
Fax Number : 870-772-2138
Authorized Official
Title or Position : VICE PRESIDENT & SECRETARY
Name : BRIAN P. FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 08/27/2008
Last Update Date : 01/05/2026

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