Provider Demographics
NPI:1013728393
Name:ART FEEDS
Entity type:Organization
Organization Name:ART FEEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:417-483-8454
Mailing Address - Street 1:PO BOX 1002
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-1002
Mailing Address - Country:US
Mailing Address - Phone:417-483-8454
Mailing Address - Fax:
Practice Address - Street 1:240 N BLOCK AVE STE 311
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5253
Practice Address - Country:US
Practice Address - Phone:913-730-6319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health