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CEDRIC MAYO
NPI 1104282235
Residential Treatment Facility, Emotionally Disturbed Children in Little Rock, AR

Active since January 05, 2016
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210(501) 821-5500 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedric Mayo NPPES

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

CEDRIC MAYO (NPI 1104282235) is an individual residential treatment facility, emotionally disturbed children provider in Little Rock, Arkansas and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1104282235
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameCEDRIC MAYO
Location Address20400 COLONEL GLENN RDLittle Rock, AR 72210-5323
Mailing Address20400 Colonel Glenn RdLittle Rock, AR 72210-5323 · (501) 821-5500
Phone(501) 821-5500
Sole ProprietorYes
Enumeration DateJanuary 5, 2016
✔ NPI 1104282235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
20400 COLONEL GLENN RD, Little Rock, AR 72210
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Other Providers at the Same Location NPPES 20

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

CRYSTAL GOINS QBHP
Counselor
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
FRANKLIN LIVINGSTON MHPP
Counselor (Mental Health)
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
DON RILEY
Recreation Therapist
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
EMILY BLANTON
Counselor (Mental Health)
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
MICHAEL STANFIELD
Counselor
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
MRS. BRIDGET IRENE ATKINS LCSW
Counselor (Mental Health)
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
MR. NICHOLAS BRANDON RIDDLE
Rehabilitation Counselor
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500
MR. KENNETH MAURICE SHARPE
Counselor
20400 COLONEL GLENN RD
LITTLE ROCK, AR 72210
Pulaski County (501) 821-5500

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 Cedric Mayo's NPI number?

The NPI number for Cedric Mayo is 1104282235. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Where is Cedric Mayo located?

Cedric Mayo practices at 20400 Colonel Glenn Rd, Little Rock, AR 72210. The listed phone number is (501) 821-5500.

What is Cedric Mayo's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Cedric Mayo was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.