Provider Demographics
NPI:1992279731
Name:RESOLUTIONS BEHAVIORAL HEALTH SERVICE, LLC.
Entity type:Organization
Organization Name:RESOLUTIONS BEHAVIORAL HEALTH SERVICE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOHNSON-MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSSW
Authorized Official - Phone:870-500-2324
Mailing Address - Street 1:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-0562
Mailing Address - Country:US
Mailing Address - Phone:870-500-2324
Mailing Address - Fax:
Practice Address - Street 1:302 MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-2928
Practice Address - Country:US
Practice Address - Phone:870-305-1221
Practice Address - Fax:870-364-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty