TIME WELLNESS AR NPI 1891575890

NPI Information

  • NPI: 1891575890
  • Provider Name: TIME WELLNESS AR
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • CLIA Number: 04D2301620
  • Address: 4220 N CROSSOVER RD STE 102
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (954) 654-2350

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NPI Details

TIME WELLNESS AR is a psychiatric hospital in Fayetteville, AR. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. TIME WELLNESS AR NPI is 1891575890. The provider is registered as an organization entity type.

The provider's business location address is:

4220 N CROSSOVER RD STE 102
FAYETTEVILLE, AR
ZIP 72703-593
Phone: (954) 654-2350

The provider's authorized official is Daniel E Fesefeldt .
The authorized official title is Chief Operating Officer and has the following contact phone number (954) 654-2350.

The CLIA number assigned to this NPI record is 04D2301620 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/9/2024.

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 License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4283Q00000XPsychiatric HospitalYes
5320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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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