WACGC - LOGAN - PARIS (WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-LOGAN-PARIS) NPI 1801061205

Community/Behavioral Health in Paris, AR

NPI 1801061205 Organization Community/Behavioral Health

About WACGC - LOGAN - PARIS (WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-LOGAN-PARIS)

Wacgc - Logan - Paris (western Arkansas Counseling & Guidance Center, Inc.-logan-paris) is a provider established in Paris, Arkansas specializing in community/behavioral health. The NPI number of Wacgc - Logan - Paris (western Arkansas Counseling & Guidance Center, Inc.-logan-paris) is 1801061205 and was assigned on April 2008. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Wacgc - Logan - Paris. The authorized official of this NPI record is Mr. Jim West Lcsw (Ceo)

NPI

1801061205

Provider NameWACGC - LOGAN - PARIS (WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-LOGAN-PARIS)
Provider Location Address415 S 6TH ST PARIS, AR 72855
Provider Mailing AddressPO BOX 11818 FORT SMITH, AR 72917
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameWACGC - LOGAN - PARIS
Other Name TypeOther Name (5)
Enumeration Date04-25-2008
Last Update Date10-03-2011


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

WACGC - LOGAN - PARIS
415 S 6TH ST
PARIS, AR
ZIP 72855
Phone: (479) 452-6650
Fax: (479) 785-9495

Get Directions


Mailing Address

WACGC - LOGAN - PARIS
PO BOX 11818
FORT SMITH, AR
ZIP 72917
Phone: (479) 452-6650
Fax: (479) 785-9495



Authorized Official

Authorized Official NameMR. JIM WEST LCSW
Authorized Official TitleCEO
Authorized Official Phone(479) 452-6650

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
137452726MEDICAID (05)AR
56701MEDICARE PIN (08)AR

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376811687WESTERN ARKANSAS COUSELING & GUIDANCE CENTER, INC. - LOGAN CTY - PARIS
Organization
Community/Behavioral Health415 S 6TH ST
PARIS, AR 72855
(479) 452-6650

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.