Provider Demographics
NPI:1710513338
Name:EMERGE SERVICES, LLC
Entity Type:Organization
Organization Name:EMERGE SERVICES, LLC
Other - Org Name:EMERGE THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NAE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-250-4355
Mailing Address - Street 1:2713 SE I ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-0078
Mailing Address - Country:US
Mailing Address - Phone:479-250-4355
Mailing Address - Fax:
Practice Address - Street 1:2713 SE I ST STE 5
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-0078
Practice Address - Country:US
Practice Address - Phone:479-250-4355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-15
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty