Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shae Mortazavi, QBHP

Individual provider Case Manager/Care Coordinator · NPI 1831779008

Shae Mortazavi, QBHP is a Case Manager/Care Coordinator in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2021.

Licensed in
AR
In the registry since
2021

Practice location Address checks out

104 Lock And Dam Rd
Russellville, AR 72802-9725
Phone: (479) 747-5222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 0000 (AR)

Record details

NPI number1831779008
Entity typeIndividual (Type 1)
GenderFemale
Credentials QBHP
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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