Provider Demographics
NPI:1073636288
Name:DAYSPRING BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:DAYSPRING BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-872-5580
Mailing Address - Street 1:5537 BLEAUX AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0737
Mailing Address - Country:US
Mailing Address - Phone:479-872-5580
Mailing Address - Fax:479-872-5581
Practice Address - Street 1:107 PROFESSIONAL PLZ
Practice Address - Street 2:SUITE 5
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-8954
Practice Address - Country:US
Practice Address - Phone:870-338-2712
Practice Address - Fax:870-338-2726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR159547526Medicaid