ELIZABETH MITCHELL ADOLESCENT CENTER
NPI 1649458514
Residential Treatment Facility, Emotionally Disturbed Children in Little Rock, AR

NPI Status: Active since February 04, 2008

Contact Information

6501 W 12TH ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 666-8686
Fax: (501) 660-6832

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About ELIZABETH MITCHELL ADOLESCENT CENTER

This page provides the complete NPI Profile along with additional information for Elizabeth Mitchell Adolescent Center, a provider established in Little Rock, Arkansas operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1649458514 assigned on February 2008. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Elizabeth Mitchell Adolescent Center. The authorized official of this NPI record is Mrs. Barbara Mccrory Cpa (Chief Financial Officer)

NPI
1649458514
Provider Legal Name
CENTERS FOR YOUTH AND FAMILIES
Other Organization Name
ELIZABETH MITCHELL ADOLESCENT CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6501 W 12TH ST LITTLE ROCK, AR 72204
Location Phone
(501) 666-8686
Location Fax
(501) 660-6832
Mailing Address
PO BOX 251970 LITTLE ROCK, AR 72225
Mailing Phone
(501) 666-8686
Mailing Fax
(501) 660-6832
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-04-2008
Last Update Date
02-04-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BARBARA MCCRORY CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(501) 666-8686

Reviews for ELIZABETH MITCHELL ADOLESCENT CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649458514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689851652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 5 + 1 + 6 + 5 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1649458514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639204795MS. LOI ANN CHAMBERS LCSW
Individual
Social Worker (Clinical)6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1285760553MS. KATHY FRAZIER-MAYS RN
Individual
Registered Nurse (Administrator)6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1356477160 GREGG CARNELL EASTER
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1093841819MR. TRENN DEVOR FOUNTAIN SR.
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1689700049MR. REGGIE ERIC FOSSETTE
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1528195955MS. GRETZHEN ANN HEGI EDUCATIONAL THERAPIS
Individual
Specialist6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1417083866MR. VINCENT PORTER HENDERSON
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1447387691MR. CHARLES HAMPTON HUNTER
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1780710152MRS. SHIRLEY ANN CLINGMON
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1306973565MR. TONY O'NEAL JACKSON
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1447387576MR. GARLAND LYNN NELSON
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-6886
1861529901MRS. REGINIA L NORTH-FANDUWARD
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1013044676MISS ANGELA JEANETTE TAYLOR
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1215064886MISS JENIA NICKOLE THURMAN LPN
Individual
Licensed Practical Nurse6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1972630606 KATHY M DAY SIMS
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1104953926 KEVIN ANDREW SANTULLI PH.D.
Individual
Psychologist6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1982731790 OLA MAE PORTER
Individual
Case Manager/Care Coordinator6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1982731709 CRAIG EUGENE ROBINETT LPE
Individual
Counselor (Mental Health)6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1790812527 THEONITA DIANE RODGERS
Individual
Specialist/Technologist, Other6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686
1659408474MS. KARIN M SCHOULTZ
Individual
Specialist6501 W 12TH ST
LITTLE ROCK, AR 72204
(501) 666-8686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649458514, enumerated in the NPI registry as an "organization" on February 04, 2008

The provider is located at 6501 W 12th St Little Rock, Ar 72204 and the phone number is (501) 666-8686

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on February 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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