MEDICARE: PEAK STATE RECOVERY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1720815129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK STATE RECOVERY, LLC

Provider Business Mailing Address
First Line	:	1055 HUNTINGTON DR
Second Line	:
City	:	BENTON
State	:	AR
Zip	:	72019-8922
Country	:	US
Telephone Number	:	501-428-6980
Fax Number	:

Provider Business Practice Location Address
First Line	:	22163-22295 AR-9
Second Line	:
City	:	PARON
State	:	AR
Zip	:	72122
Country	:	US
Telephone Number	:	501-209-3764
Fax Number	:	561-849-3070

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHRISTOPHER S DICKIE
Credential	:	MS
Telephone Number	:	501-428-6980

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	07/29/2025

Similar Medicare Providers

1861725590 — SECOND CHANCE RANCH
Practice Location Address:

201 DESTINED TO WIN ROAD
PARON, AR
72122

Practice Phone: 501-847-1559
Practice Fax:

1093041766 — SECOND CHANCE RANCH
Practice Location Address:

201 DESTINED TO WIN ROAD
PARON, AR
72122

Practice Phone: 501-847-1559
Practice Fax:

1700343324 — BENJAMIN JEFFREY SPILLYARDS CRNA
Practice Location Address:

34617 HEINZE CV
PARON, AR
72122-8042

Practice Phone: 501-687-7913
Practice Fax:

1982392684 — BRENDA WOOLEY LCSW LLC
Practice Location Address:

104 HAWK VALLEY DR
PARON, AR
72122-9709

Practice Phone: 870-820-7097
Practice Fax:

1619832565 — AMBER MARIE DUNCAN APRN-CNP
Practice Location Address:

22265 HIGHWAY 9
PARON, AR
72122-9539

Practice Phone: 501-531-4482
Practice Fax:

1740296771 — ELIZABETH R DAVIS RNP
Practice Location Address:

5600 W 12TH ST
LITTLE ROCK, AR
72204-1717

Practice Phone: 501-748-3333
Practice Fax:

Directions to “PEAK STATE RECOVERY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.