OrganizationActive
1621 E 42 LLC
NPI 1437964244 · Community/Behavioral Health Agency · Texarkana, AR
Provider details
- NPI number
- 1437964244
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Edward Holman, Ceo/President(501) 224-0846
Specialties & taxonomies
Agencies
Practice location
1623 E 42nd St
Texarkana, AR 71854-1894
Phone: (870) 772-0689
Approximate (ZIP-level) locationGet directions
Mailing address
10 Shackleford Plz Ste 102
Little Rock, AR 72211-1886
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.