Wellness Center of Arkansas LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLNESS CENTER OF ARKANSAS LLC

Practice address

207 Progress Way
Suite 105
Bryant, AR 72022-7202

Phone

(501) 722-3578

NPI assigned

Dec 5, 2023

Last updated

Dec 13, 2023By 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

Charis Mian, LPCNPI 1457707457

Title

Owner

Phone

(501) 722-3578

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charis Mian, LPC, NCC, SCM, STAC

  • Professional Counselor
  • Bryant, AR
  • NPI 1457707457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1720855240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PROGRESS WAY",
            "address_2": "SUITE 105",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223578",
            "telephone_number": "501-722-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PROGRESS WAY",
            "address_2": "SUITE 105",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227202",
            "telephone_number": "501-722-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "CHARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-722-3578",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-3230)
• Kaitlyn Walters
• Kendaydria Watkins
• Dia Watson, PA-C
• Cynthia J. Webb, LPC-S
• Renee Wells
• Stephanie West
• Tiffany Weston
• Cynthia Weyrens, DPT
• Andrew Wheat, APRN

• Professional Counselor in Bryant, AR
• Providers in Bryant, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.