Fort Smith Behavioral Health Inc
LBN: Fort Smith Behavioral Health Inc
Fort Smith Behavioral Health Inc is an health care organization with primary practice located at 1620 S 46Th St 1620 S 46Th Street, Fort Smith AR 72903-3129. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Fort Smith Behavioral Health Inc can be contacted via phone (479) 494-7889, or through Chiovoloni, Stephen Douglas via phone (479) 494-7889.
Contact Information
Primary practice address
1620 S 46Th St 1620 S 46Th Street
Fort Smith AR 72903-3129
Phone: (479) 494-7889
Fax: (479) 494-7890
Website:
Authorized official contact:
Name: Chiovoloni, Stephen Douglas LCSW, SAP, LADAC,
Phone: (479) 494-7889
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 02511 | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2295-CP | Arkansas |
Profile Details
| NPI number | 1821305186 |
|---|---|
| LBN Legal business name | Fort Smith Behavioral Health Inc |
| DBA Doing business as | |
| Authorized official | Chiovoloni, Stephen Douglas LCSW, SAP, LADAC, |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2010 |
| Last updated | Aug 11th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821305186 | NPPES |
| Arkansas | Other | 203767 | ICAADC |
| Arkansas | Other | 400690 | ICAADC |
| Arkansas | Other | 023 | ICAADC |
| Arkansas | Other | A-289 | ICAADC |
| Arkansas | Other | 2295-CP | ICAADC |
| Arkansas | Other | 02511 | ICAADC |
| Arkansas | Other | 13288 | ICAADC |
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