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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

1623 E 42 LLC
NPI 1437964244
Community/Behavioral Health in Texarkana, AR

Active since February 10, 2025
1623 E 42ND ST, TEXARKANA, AR 71854(870) 772-0689 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1623 E 42 Llc NPPES

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

1623 E 42 LLC (NPI 1437964244) is a healthcare organization registered as a community/behavioral health in Texarkana, Arkansas and active in the NPI registry since February 2025. The organization lists Edward V Holman, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1437964244
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business Name1623 E 42 LLC
Location Address1623 E 42ND STTexarkana, AR 71854-1894
Mailing Address10 Shackleford Plz Ste 102Little Rock, AR 72211-1886 · (501) 224-0846 · Fax (501) 224-0834
Phone(870) 772-0689
Organization SubpartNo
Authorized OfficialEdward V HolmanCeo/president · (501) 224-0846
Enumeration DateFebruary 10, 2025
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1437964244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1623 E 42ND ST, Texarkana, AR 71854
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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 1623 E 42 LLC's NPI number?

The NPI number for 1623 E 42 LLC is 1437964244. It was assigned to this organization in the NPPES registry on February 10, 2025.

Where is 1623 E 42 LLC located?

1623 E 42 LLC is located at 1623 E 42nd St, Texarkana, AR 71854. The listed phone number is (870) 772-0689.

What is 1623 E 42 LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for 1623 E 42 LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.