1. Home
  2. Directory
  3. Arkansas
  4. Benton
  5. Preferred Provider Organization
  6. NPI Profile

SYSTEMIC FAMILY THERAPY LLC
NPI 1871039883
Preferred Provider Organization in Benton, AR

Active since January 13, 2017
17724 I 30 STE 2 OFC 5, BENTON, AR 72019(501) 400-6570 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 13, 2018, Jan 17, 2017, Jan 13, 2017 (3 updates tracked since 2017).

About Systemic Family Therapy Llc NPPES

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

SYSTEMIC FAMILY THERAPY LLC (NPI 1871039883) is a healthcare organization registered as a preferred provider organization in Benton, Arkansas and active in the NPI registry since January 2017. The organization lists Elizabeth Ruggiero Wallis, Therapist, as its authorized official.

NPPES Registry Identity

NPI1871039883
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSYSTEMIC FAMILY THERAPY LLC
Location Address17724 I 30 STE 2 OFC 5Benton, AR 72019-2907
Mailing AddressPo Box 897Benton, AR 72018-0897 · (501) 400-6570
Phone(501) 400-6570
Organization SubpartNo
Authorized OfficialElizabeth Ruggiero WallisTherapist · (501) 400-6570
Enumeration DateJanuary 13, 2017
Last NPPES UpdateJune 24, 20193 updates tracked since enumeration
✔ NPI 1871039883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Licenses✔ Licensed in AR · PO807061✔ Licensed in AR · MO704002
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
17724 I 30 STE 2 OFC 5, Benton, AR 72019
Open in Google Maps ↗

Other Identifiers 1

Other1699966697AR · Npi

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 Systemic Family Therapy LLC's NPI number?

The NPI number for Systemic Family Therapy LLC is 1871039883. It was assigned to this organization in the NPPES registry on January 13, 2017.

Where is Systemic Family Therapy LLC located?

Systemic Family Therapy LLC is located at 17724 I 30 Ste 2 Ofc 5, Benton, AR 72019. The listed phone number is (501) 400-6570.

What is Systemic Family Therapy LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Systemic Family Therapy LLC was last updated on June 24, 2019. 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.