Our Brother's Keeper Wellness Organization

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

OUR BROTHER'S KEEPER WELLNESS ORGANIZATION

Doing business as

Our Brother's Keeper Wellness Organization

Practice address

7101 W 12TH St Ste 200I
Little Rock, AR 72204-2404

Phone

(501) 647-1042

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya Maryie Bell-Brooks

Title

Executive Director

Phone

(501) 412-2268

Specialties & licenses 2

Addresses

Other names 1

• Our Brother's Keeper Wellness Organization Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: health.wellness@obkwellness.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1720751373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46346",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722146346",
            "telephone_number": "501-647-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST STE 200I",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042404",
            "telephone_number": "501-647-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR BROTHER'S KEEPER WELLNESS ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "BELL-BROOKS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARYIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "501-412-2268"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Health.wellness@obkwellness.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "address_1": "7101 W 12th St Ste 200I",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722042404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Our Brother's Keeper Wellness Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Otter Creek Family Clinic PLLC
• Laura M Otter, MD
• Sara Ottinger
• Jurhee Freese Ottis, MD
• Alexandra Grace Otwell, MD
• Alyssa Outhay
• Tina Outley
• Outside the Box Psychotherapy & Consulting, LLC
• Lee Overall, MHSA, RKT
• Ryan Overbay, DPT

• Case Management Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Management Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.