INTEGRATED WELLNESS AND MENTAL HEALTH LLC NPI 1053879775

NPI Information

INTEGRATED WELLNESS AND MENTAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Springdale, AR. INTEGRATED WELLNESS AND MENTAL HEALTH, LLC NPI is 1053879775. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Iwamh.

The provider's business location address is:

700 N 40TH ST STE B
SPRINGDALE, AR
ZIP 72762-633
Phone: (479) 318-2828
Fax: (479) 318-2683

The provider's authorized official is Zachariah Hodgson .
The authorized official title is Owner/administrator and has the following contact phone number (479) 469-0313.

The CLIA number assigned to this NPI record is 04D2265403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 8/11/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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