| Southeast Arkansas Behavioral Healthcare System Inc | |
|
2500 Rike Drive Pine Bluff AR 71603 | |
| (870) 534-1834 | |
| (870) 534-5798 |
| Full Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2500 Rike Drive, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Kathy D Harris (PRESIDENT, CEO) |
| Authorized Official Contact | 8705341834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Arkansas Behavioral Healthcare System Inc 2500 Rike Drive Pine Bluff AR 71603 Ph: (870) 534-1834 | Southeast Arkansas Behavioral Healthcare System Inc 2500 Rike Drive Pine Bluff AR 71603 Ph: (870) 534-1834 |
| NPI Number | 1457398547 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/14/2013 |
| Medicare PECOS PAC ID | 0042292674 |
|---|---|
| Medicare Enrollment ID | O20040607000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457398547 | NPI | - | NPPES |
| 187327744 | Other | AR | SATS MEDICAID |
| 116378726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shamim Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518909605 PECOS PAC ID: 8820901366 Enrollment ID: I20031110000769 |
| Provider Name | Althea T Conley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114995198 PECOS PAC ID: 7517851413 Enrollment ID: I20040819000963 |
| Provider Name | Stephen A Broughton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861411167 PECOS PAC ID: 8628042363 Enrollment ID: I20040819001348 |
| Provider Name | Michelle M Ransom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699753061 PECOS PAC ID: 2668402017 Enrollment ID: I20050816000761 |
| Provider Name | Joyce A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235170382 PECOS PAC ID: 4981617545 Enrollment ID: I20060726000320 |
| Provider Name | Heather N Swopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407887136 PECOS PAC ID: 9234138025 Enrollment ID: I20061205000130 |
| Provider Name | Donna P Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033230008 PECOS PAC ID: 7315038148 Enrollment ID: I20070809000028 |
| 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 | Cynthia G Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326066853 PECOS PAC ID: 7214005909 Enrollment ID: I20081008000215 |
| Provider Name | Michele L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801042247 PECOS PAC ID: 8224196308 Enrollment ID: I20081017000428 |
| Provider Name | Andre Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124048871 PECOS PAC ID: 6709882160 Enrollment ID: I20081126000562 |
| Provider Name | Terrell P Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326034547 PECOS PAC ID: 7315095072 Enrollment ID: I20090507000092 |
| Provider Name | James Scott Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437213113 PECOS PAC ID: 5496893109 Enrollment ID: I20091117000194 |
| Provider Name | Tiffany Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376767533 PECOS PAC ID: 9032258611 Enrollment ID: I20091202000366 |
| Provider Name | Diane C. Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261282 PECOS PAC ID: 5698814804 Enrollment ID: I20091203000398 |
| Provider Name | Jemeca D Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306059753 PECOS PAC ID: 3274666060 Enrollment ID: I20100730000234 |
| Provider Name | Bessie Lancelin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194783456 PECOS PAC ID: 0345374740 Enrollment ID: I20100820000745 |
| Provider Name | Ronald J Wauters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801854195 PECOS PAC ID: 4789876327 Enrollment ID: I20101014000342 |
| Provider Name | Abeer Washington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194910620 PECOS PAC ID: 7416127410 Enrollment ID: I20110831000135 |
| Provider Name | Lillian Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851648976 PECOS PAC ID: 0648424150 Enrollment ID: I20130211000292 |
| Provider Name | Tasha M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689980039 PECOS PAC ID: 4284933839 Enrollment ID: I20160503000685 |
| Provider Name | Brandi N Yarberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821382995 PECOS PAC ID: 3870818636 Enrollment ID: I20160526000134 |
| Provider Name | Willow E Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801201454 PECOS PAC ID: 5395021935 Enrollment ID: I20170413000780 |
| Provider Name | Tori M Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588045603 PECOS PAC ID: 6901167279 Enrollment ID: I20180301000210 |
| Provider Name | Tonika Ludell Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569167 PECOS PAC ID: 4284068917 Enrollment ID: I20200106000046 |
| Provider Name | Mallori Levengood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185066 PECOS PAC ID: 5698181667 Enrollment ID: I20210317001483 |
| Provider Name | Uhronda D Reel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922315613 PECOS PAC ID: 7810387305 Enrollment ID: I20211123002285 |
| Provider Name | Angie Watson-griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275960700 PECOS PAC ID: 7810392529 Enrollment ID: I20220214002231 |
| Provider Name | Paulette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093943458 PECOS PAC ID: 7517194681 Enrollment ID: I20221102001954 |
| Provider Name | Devon J Deden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821704925 PECOS PAC ID: 4688047624 Enrollment ID: I20230222002229 |
| Provider Name | Sheriee D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609197698 PECOS PAC ID: 2769633486 Enrollment ID: I20230515000771 |
| Provider Name | Ashley Steward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114203353 PECOS PAC ID: 0648634485 Enrollment ID: I20230913001498 |
| Provider Name | Marious Tolbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083256820 PECOS PAC ID: 2062862741 Enrollment ID: I20231220003562 |
Ideas Emerge Counseling And Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 S Hemlock St, Pine Bluff, AR 71603 Phone: 870-489-7002 | |
Mind Over Matter Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3041 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-619-9018 | |
Addiction Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W 3rd Ave # 12, 200, Pine Bluff, AR 71601 Phone: 870-730-1150 Fax: 870-543-4952 | |
Rogers Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 W 6th Ave, Pine Bluff, AR 71601 Phone: 870-568-4502 Fax: 870-395-7086 | |
The P.a.t. Center: People Advocating Transition Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 620 South Laurel Street, Pine Bluff, AR 71601 Phone: 870-534-4900 Fax: 870-534-4906 | |
Reform, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 W 6th Ave, Pine Bluff, AR 71601 Phone: 870-510-5031 Fax: 501-421-3418 | |
The Pat Center Ii, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 S Laurel St Rm 16, Pine Bluff, AR 71601 Phone: 870-534-2039 Fax: 870-534-2608 |