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CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC
NPI 1043715329
Clinic/Center - Rehabilitation, Substance Use Disorder in West Memphis, AR

Active since March 28, 2018
103 S AVALON ST, WEST MEMPHIS, AR 72301(870) 394-4307(870) 394-9936 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2018, Mar 28, 2018 (2 updates tracked since 2018).

About Crossroads Treatment Center Of West Memphis, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC (NPI 1043715329) is a healthcare organization registered as a rehabilitation, substance use disorder in West Memphis, Arkansas and active in the NPI registry since March 2018. The organization lists Rupert James Mccormac, President, as its authorized official.

NPPES Registry Identity

NPI1043715329
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCROSSROADS TREATMENT CENTER OF WEST MEMPHIS, PC
Location Address103 S AVALON STWest Memphis, AR 72301
Mailing Address55 Beattie Pl Ste 810Greenville, SC 29601-2191 · (864) 527-3145 · Fax (864) 990-0653
Phone(870) 394-4307
Fax(870) 394-9936
Organization SubpartNo
Authorized OfficialRupert James MccormacPresident · (864) 527-3145
Enumeration DateMarch 28, 2018
Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration
✔ NPI 1043715329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
103 S AVALON ST, West Memphis, AR 72301
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DELINEY WARREN
Case Manager/Care Coordinator
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 732-1878
HEATHER SHARPE
Registered Nurse
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9936
CHARISSA MORRIS
Registered Nurse
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-9936
RICHARD WHEELER
Counselor (Addiction (Substance Use Disorder))
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 394-4307
GWENDOLYN JONES
Case Manager/Care Coordinator
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 732-1878
TANEQUA DANIELLE SMALL LMSW
Social Worker
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 702-7657
MRS. TAMARA PELKEY LMSW
Social Worker
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 732-1878
LATAIRRICKA07/11/198 BOLDEN
Case Manager/Care Coordinator
103 S AVALON ST
WEST MEMPHIS, AR 72301
Crittenden County (870) 732-1878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Treatment Center Of West Memphis, PC's NPI number?

The NPI number for Crossroads Treatment Center Of West Memphis, PC is 1043715329. It was assigned to this organization in the NPPES registry on March 28, 2018.

Where is Crossroads Treatment Center Of West Memphis, PC located?

Crossroads Treatment Center Of West Memphis, PC is located at 103 S Avalon St, West Memphis, AR 72301. The listed phone number is (870) 394-4307.

What is Crossroads Treatment Center Of West Memphis, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Crossroads Treatment Center Of West Memphis, PC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.