MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC. NPI 1164550760

Counselor (Professional) in Dewitt, AR

NPI 1164550760 Organization Counselor Professional

About MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.

Markallen Behavioral Health System, Inc. is a provider established in Dewitt, Arkansas specializing in counselor (professional) . The NPI number of Markallen Behavioral Health System, Inc. is 1164550760 and was assigned on March 2007. The practitioner's primary taxonomy code is 101YP2500X with license number P0111048 (AR). The provider is registered as an organization and their NPI record was last updated 13 years ago. Markallen Behavioral Health System, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Steven Robert Jenkins M.s. (President, Therapist)

NPI

1164550760

Provider NameMARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.
Provider Location Address108 S JEFFERSON ST DEWITT, AR 72042
Provider Mailing Address108 S JEFFERSON ST DEWITT, AR 72042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-02-2007
Last Update Date01-09-2009


Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.P0111048
License StateAR

Business Address

MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.
108 S JEFFERSON ST
DEWITT, AR
ZIP 72042
Phone: (870) 946-0158
Fax: (870) 946-0159

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Mailing Address

MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.
108 S JEFFERSON ST
DEWITT, AR
ZIP 72042
Phone: (870) 946-0158
Fax: (870) 946-0159



Authorized Official

Authorized Official NameMR. STEVEN ROBERT JENKINS M.S.
Authorized Official TitlePRESIDENT, THERAPIST
Authorized Official Phone(870) 946-0158

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629376173 TIFFANY N MCPHERSON BS, MHPP, LCSW
Individual
Social Worker (Clinical)108 S JEFFERSON ST
DE WITT, AR 72042
(870) 946-8303
1376793406DANA'S HOUSE, INC.
Organization
Community/Behavioral Health108 S JEFFERSON ST
DE WITT, AR 72042
(870) 946-8303
1760711451 NAOMI BOWERS LPC
Individual
Counselor (Professional)108 S JEFFERSON ST
DE WITT, AR 72042
(870) 946-8303
1235625617 HELEN JENNINGS-HOOD LPC
Individual
Counselor (Professional)108 S JEFFERSON ST
DE WITT, AR 72042
(870) 946-8303

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.