Organization · NPI-2

Arkansas Childrens Professional Services Organization LLC

Pediatrics, Developmental - Behavioral Pediatrics · Little Rock, AR

NPI number1649085564
StatusActive
Last updated in NPPESFeb 10, 2025

Details

NPI
1649085564
Entity type
Organization (NPI-2)
Legal business name
Arkansas Childrens Professional Services Organization LLC
Organization subpart
Yes
Enumeration date
Feb 10, 2025
Certification date
Feb 6, 2025
Last updated
Feb 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––Yes

Other names

  • Arkansas Children'S Professional Services Organization LLC - Behavioral Health (Other Name)
  • Arkansas Childrens Professional Services LLC, Behavioral Health (Other Name)

Practice location

1 Childrens Way # 664
Little Rock, AR 72202-3500

Phone 501-364-1100 · Fax 501-978-6436

Mailing address

Po Box 959794
Saint Louis, MO 63195-9794

Phone 501-364-2526

Other practice locations

900 S 52nd St Ste 200
Rogers, AR 72758-8640

Phone 479-254-1100 · Fax 479-254-2997

2601 Gene George Blvd
Springdale, AR 72762-0845

Phone 479-725-6800 · Fax 479-725-6582

Authorized official

Sheryl Phillips
Ar Control Manager
5013642526

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