Provider Demographics
NPI:1831439769
Name:ARKANSAS BEHAVIORAL IMPACT, INC.
Entity type:Organization
Organization Name:ARKANSAS BEHAVIORAL IMPACT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,LCSW,LADAC
Authorized Official - Phone:501-454-4354
Mailing Address - Street 1:PO BOX 56751
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-6751
Mailing Address - Country:US
Mailing Address - Phone:501-454-4354
Mailing Address - Fax:501-265-0225
Practice Address - Street 1:6705 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1515
Practice Address - Country:US
Practice Address - Phone:501-265-0255
Practice Address - Fax:501-265-0225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-21371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty