| Centers For Youth And Families, Inc. | |
|
6601 W. 12th Street Little Rock AR 72204 | |
| (501) 666-8686 | |
| (501) 666-6838 |
| Full Name | Centers For Youth And Families, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6601 W. 12th Street, Little Rock, Arkansas |
| Authorized Official Name and Position | Doug Stadter (PRESIDENT/CEO) |
| Authorized Official Contact | 5016668686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centers For Youth And Families, Inc. Po Box 251970 Little Rock AR 72225-1970 Ph: (501) 666-8686 | Centers For Youth And Families, Inc. 6601 W. 12th Street Little Rock AR 72204 Ph: (501) 666-8686 |
| NPI Number | 1174617526 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4486996279 |
|---|---|
| Medicare Enrollment ID | O20190426000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174617526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Jo Mclin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285836130 PECOS PAC ID: 2062494966 Enrollment ID: I20040603001389 |
| Provider Name | Marlyn M Lipton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487835674 PECOS PAC ID: 3375628126 Enrollment ID: I20080304000753 |
| Provider Name | John R Schay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770604746 PECOS PAC ID: 3678620663 Enrollment ID: I20090408000494 |
| Provider Name | Brandi N Yarberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382995 PECOS PAC ID: 3870818636 Enrollment ID: I20160526000134 |
| Provider Name | Chloe Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861843831 PECOS PAC ID: 5890080410 Enrollment ID: I20160822002205 |
| Provider Name | Kelsey Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316256753 PECOS PAC ID: 9133407737 Enrollment ID: I20161102002081 |
| Provider Name | Don J Althoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649749706 PECOS PAC ID: 1850636507 Enrollment ID: I20181227001303 |
| Provider Name | Daniel L Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609261338 PECOS PAC ID: 3971819210 Enrollment ID: I20190606002806 |
| Provider Name | Samuel J Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366974008 PECOS PAC ID: 0547532244 Enrollment ID: I20190807003933 |
| Provider Name | Jessie M Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114571072 PECOS PAC ID: 2062847940 Enrollment ID: I20200123000630 |
| Provider Name | Caitlin N Sammons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578025771 PECOS PAC ID: 4082042296 Enrollment ID: I20200323002351 |
| Provider Name | Roger Lew Hiatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417082710 PECOS PAC ID: 1850710542 Enrollment ID: I20200930000156 |
| Provider Name | Cydney M Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164884250 PECOS PAC ID: 2062704570 Enrollment ID: I20201204002023 |
| Provider Name | Samantha L Golden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245723204 PECOS PAC ID: 0345654109 Enrollment ID: I20210208000362 |
| Provider Name | Jennifer Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076358 PECOS PAC ID: 1254747256 Enrollment ID: I20210316001871 |
| Provider Name | Christina Lynn Allen-doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306417324 PECOS PAC ID: 2365822632 Enrollment ID: I20220704000193 |
| Provider Name | Kindra D Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497484505 PECOS PAC ID: 8325421274 Enrollment ID: I20220810002604 |
| Provider Name | Marcus Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154043941 PECOS PAC ID: 2961879366 Enrollment ID: I20221027001092 |
| Provider Name | Tracy D Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407176100 PECOS PAC ID: 5698145936 Enrollment ID: I20230103002300 |
| Provider Name | Sydnie Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174115265 PECOS PAC ID: 3274997945 Enrollment ID: I20230913003019 |
| Provider Name | Megan A Otey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699280578 PECOS PAC ID: 3870942220 Enrollment ID: I20231211000579 |
| Provider Name | Lee H Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447468129 PECOS PAC ID: 3577910488 Enrollment ID: I20231227003287 |
| Provider Name | Jason Andrews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043795958 PECOS PAC ID: 7911357967 Enrollment ID: I20240206004933 |
| Provider Name | Leah Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295861573 PECOS PAC ID: 2567812555 Enrollment ID: I20240208002649 |
| Provider Name | Gessie Paul-tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144498981 PECOS PAC ID: 2466800222 Enrollment ID: I20240214000763 |
| Provider Name | Megan Denson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720484629 PECOS PAC ID: 6901240738 Enrollment ID: I20240220001749 |
| Provider Name | Ferrell Bonner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700491263 PECOS PAC ID: 9335589688 Enrollment ID: I20240502003915 |
| Provider Name | Brooke W Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649696394 PECOS PAC ID: 2264873553 Enrollment ID: I20240517001500 |
| Provider Name | Jessica Villegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467972976 PECOS PAC ID: 5597200543 Enrollment ID: I20240715000310 |
| Provider Name | Ann Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104200328 PECOS PAC ID: 8628513686 Enrollment ID: I20240715000578 |
| Provider Name | Mallory Visser-pardee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225848864 PECOS PAC ID: 3678095635 Enrollment ID: I20250319001622 |
| Provider Name | Amanda Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790347565 PECOS PAC ID: 6709301211 Enrollment ID: I20250417000514 |
| Provider Name | Sarah Gasaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962026203 PECOS PAC ID: 0042720930 Enrollment ID: I20250610002061 |
State Of The Heart Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7123 I-30, Suite 6, Little Rock, AR 72209 Phone: 501-414-0070 | |
Jill Gorman Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N University Ave Ste 700, Little Rock, AR 72207 Phone: 817-681-0069 | |
Little Rock Counseling, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Breckenridge Dr Ste 107, Little Rock, AR 72205 Phone: 501-303-6838 Fax: 501-232-1427 | |
Apollo Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11715 Rainwood Rd Ste B6, Little Rock, AR 72212 Phone: 479-242-1003 Fax: 479-782-5502 | |
Centers For Youth And Families, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Merrill Drive, Suite D220 And E200, Little Rock, AR 72211 Phone: 501-666-8686 | |
Grace Place Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 W 3rd St Ste 612, Little Rock, AR 72205 Phone: 501-551-0268 Fax: 949-862-5322 | |
Mumford And Associates Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Jordan Mnr, Little Rock, AR 72204 Phone: 501-229-9220 |