MIND AND BODY WELLNESS LLC. NPI 1508540956

NPI Information

NPI: 1508540956
Provider Name: MIND AND BODY WELLNESS, LLC.
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Doing Business As: MIND AND BODY WELLNESS, LLC.
Address: 720 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 910-3169

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NPI Details

MIND AND BODY WELLNESS, LLC. is a multi-specialty clinic center in Fort Smith, AR. MIND AND BODY WELLNESS, LLC. NPI is 1508540956. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind And Body Wellness, Llc..

The provider's business location address is:

720 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901-738
Phone: (479) 910-3169
Fax: (479) 600-5051

The provider's authorized official is Lucinda J Shepherd .
The authorized official title is Owner and has the following contact phone number (479) 409-6049.

The enumeration date for this NPI number is 6/14/2023 and was last updated on 8/6/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	322060002	MEDICAID	ARKANSAS

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: 11/21/2025

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