Provider Demographics
NPI:1134185937
Name:ALLIED THERAPY AND CONSULTING SERVICES, PA
Entity type:Organization
Organization Name:ALLIED THERAPY AND CONSULTING SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:501-941-5630
Mailing Address - Street 1:1500 WILSON LOOP
Mailing Address - Street 2:P.O. BOX 333
Mailing Address - City:WARD
Mailing Address - State:AR
Mailing Address - Zip Code:72176-8656
Mailing Address - Country:US
Mailing Address - Phone:501-941-5630
Mailing Address - Fax:501-843-2270
Practice Address - Street 1:5532 JFK BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-6708
Practice Address - Country:US
Practice Address - Phone:150-158-8321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR312025742Medicaid
AR145863778Medicaid
AR5C301OtherBLUE CROSS BLUE SHIELD
AR122852742Medicaid