Provider Demographics
NPI:1629583182
Name:ATTACHMENT SERVICES OF ARKANSAS
Entity Type:Organization
Organization Name:ATTACHMENT SERVICES OF ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-414-9141
Mailing Address - Street 1:217 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5823
Mailing Address - Country:US
Mailing Address - Phone:501-414-9141
Mailing Address - Fax:501-904-4409
Practice Address - Street 1:5800 EVERGREEN DR STE G
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1757
Practice Address - Country:US
Practice Address - Phone:501-414-9141
Practice Address - Fax:501-904-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3376-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty