Provider Demographics
NPI:1164302444
Name:FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS
Entity type:Organization
Organization Name:FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-409-9717
Mailing Address - Street 1:1051 W PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8052
Mailing Address - Country:US
Mailing Address - Phone:479-659-3657
Mailing Address - Fax:
Practice Address - Street 1:1051 W PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8052
Practice Address - Country:US
Practice Address - Phone:479-659-3657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNSELING & CARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-05
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty