Provider Demographics
NPI:1407663305
Name:201 BEHAVIORAL HEALTH & THERAPY
Entity type:Organization
Organization Name:201 BEHAVIORAL HEALTH & THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-723-9049
Mailing Address - Street 1:201 N SLEMONS ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-4326
Mailing Address - Country:US
Mailing Address - Phone:870-723-9049
Mailing Address - Fax:870-224-8059
Practice Address - Street 1:201 N SLEMONS ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4326
Practice Address - Country:US
Practice Address - Phone:870-723-9049
Practice Address - Fax:870-224-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty