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Tba Texarkana Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Texarkana, Arkansas
NPI 1336408301

Tba Texarkana Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fayetteville, AR and is specialized in Mental Health (Including Community Mental Health Center). Tba Texarkana Llc practices in Texarkana, AR. The NPI Number for Tba Texarkana Llc is 1336408301 and holds a License No. (Arkansas).

The current practice location address for Tba Texarkana Llc is 701 Arkansas Blvd, Texarkana, AR and can be reached out via phone at 870-772-5028 and via fax at 870-772-2138. You can also correspond with Tba Texarkana Llc through the mailing address at 3352 N FUTRALL DR, FAYETTEVILLE, AR - 72703-4057 (mailing address contact number: 479-521-1427).

Location: 701 Arkansas Blvd, Texarkana, AR, 72703-4057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336408301
Provider Name
Tba Texarkana Llc
Credential
Provider Entity Type
Organization
Address
701 Arkansas Blvd, Texarkana, AR, 72703-4057
Phone Number
870-772-5028
Fax Number
870-772-2138
Provider Enumeration Date
05/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
701 Arkansas Blvd
City
Texarkana
State
Arkansas
Zip
71854-2105
Phone Number
870-772-5028
Fax Number
870-772-2138
person
Provider Business Mailing Address Details
Address
3352 N Futrall Dr
City
Fayetteville
State
Arkansas
Zip
72703-4057
Phone Number
479-521-1427
Fax Number
479-521-6520
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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