OrganizationActive
Systemic Family Therapy LLC
NPI 1871039883 · Preferred Provider Organization · Benton, AR
Provider details
- NPI number
- 1871039883
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Elizabeth Wallis, Therapist(501) 400-6570
- License
- MO704002 (AR)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17724 I 30 Ste 2 Ofc 5
Benton, AR 72019-2907
Phone: (501) 400-6570
Street-level locationGet directions
Mailing address
Po Box 897
Benton, AR 72018-0897
Registry dates
- Enumerated
- 2017-01-13
- Last updated
- 2019-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.