Foundation: A Wellness Practice, Llc

LBN: Foundation: A Wellness Practice, Llc
Foundation: A Wellness Practice, Llc is an health care organization with primary practice located at 533 W Washington Ave , Jonesboro AR 72401. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. Foundation: A Wellness Practice, Llc can be contacted via phone (870) 229-0302, or through White, Vicki Lanell via phone (573) 344-0976.

Contact Information

Primary practice address
533 W Washington Ave Jonesboro AR 72401
Phone: (870) 229-0302
Fax: (870) 520-6482
Website:
Map and Directions
Authorized official contact:
Name: White, Vicki Lanell Licensed Clinical Social Worker (LCSW)
Phone: (573) 344-0976

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1750878203
LBN Legal business name Foundation: A Wellness Practice, Llc
DBA Doing business as
Authorized official White, Vicki Lanell Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2018
Last updated Sep 28th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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