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: July 19, 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
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

Other Identifiers 1

Other1699966697AR · Npi

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871039883, enumerated as an "organization" on January 13, 2017.

The provider is located at 17724 I 30 STE 2 OFC 5 BENTON, AR 72019 and the phone number is (501) 400-6570.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.