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FOUNDATION: A WELLNESS PRACTICE LLC NPI 1750878203


NPI Information

NPI: 1750878203
Provider Name: FOUNDATION: A WELLNESS PRACTICE, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
533 W WASHINGTON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 229-0302
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FOUNDATION: A WELLNESS PRACTICE, LLC is a counselor in Jonesboro, AR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FOUNDATION: A WELLNESS PRACTICE, LLC NPI is 1750878203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

533 W WASHINGTON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 229-0302
Fax: (870) 520-6482

The provider's authorized official is Vicki Lanell White .
The authorized official title is Owner and has the following contact phone number (573) 344-0976.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 9/28/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2103TC0700XPsychologistClinicalNo
3103TC1900XPsychologistCounselingNo
4101YA0400XCounselorAddiction (Substance Use Disorder)No
5101YM0800XCounselorMental HealthNo
6101YP2500XCounselorProfessionalNo
7101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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