Organization

Archway Therapy Services

Legal Business Name

Archway Therapy Services

NPI Number

1437115961

NPI Type

Organization

Enumeration Date

04/24/2006

Specialties

(Taxonomies)

Code

225X00000X
103T00000X
235Z00000X

Primary Taxonomy

No
No
No

Contact
Information

Purpose

Mailing
Location

Address

125 W SUNBRIDGE DR
125 W SUNBRIDGE DR

City

Fayetteville
Fayetteville

State

AR
AR

Postal Code

72703-1899
72703-1899

Country

US
US

Telephone Number

(479) 587-9201
(479) 587-9201

Authorized Official

Name

Missy Baugh

Title or Position

OWNER

Telephone Number

(479) 587-9201

Identifiers

Identifier

5F269

Identifier State

AR

Identifier Issuer

BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address