DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR

MEDICARE: RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR
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)1382-CAR

General Provider Information

NPI Number : 1851405468
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR
Provider Business Mailing Address
First Line : 100 RIVENDELL DR
Second Line :
City : BENTON
State : AR
Zip : 72015-9188
Country : US
Telephone Number : 501-316-1255
Fax Number : 501-794-0908
Provider Business Practice Location Address
First Line : 1405 N PIERCE ST
Second Line : SUITE 101
City : LITTLE ROCK
State : AR
Zip : 72207-5349
Country : US
Telephone Number : 501-603-2147
Fax Number : 501-603-0324
Authorized Official
Title or Position : THERAPIST
Name : MRS. LISA ELIZABETH LEWIS
Credential : LCSW
Telephone Number : 501-603-2147
Provider Enumeration Date : 08/19/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1649224221 — LORI LAMITINA, D.C., P.A.
Practice Location Address:
1405 N PIERCE ST , SUITE 210
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-664-6664
Practice Fax: 501-664-6614
1194839712 — JOHN W NORRIS LCSW
Practice Location Address:
1405 N PIERCE ST , SUITE 101
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-603-2147
Practice Fax: 501-603-0324
1144321407 — MS. NEDRA GAIL LEEKS
Practice Location Address:
1405 N PIERCE ST , SUITE 101
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-603-2147
Practice Fax: 501-603-0324
1700977741 — LISA ELIZABETH LEWIS LCSW
Practice Location Address:
1405 N PIERCE ST , SUITE 101
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-603-2147
Practice Fax: 501-603-0324
1144394834 — UHS OF BENTON, INC.
Practice Location Address:
1405 N PIERCE ST , SUITE 101
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-603-2147
Practice Fax: 501-603-0324
1487800082 — JAMESHIA A BRAXTON LCSW
Practice Location Address:
1405 N PIERCE ST , STE 101
LITTLE ROCK, AR
72207-5349
Practice Phone: 501-603-2147
Practice Fax: 501-603-0324

Directions to “RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR ” 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.