Organization Active NPI

Pulaski Heights Wellness Clinic, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
National Provider Identifier
1811755218
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PULASKI HEIGHTS WELLNESS CLINIC, PLLC
Practice address
811 N Grant St Apt 5B
Little Rock, AR 72205-3262
Phone
(501) 301-4554
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Jennifer Shuler, APRNNPI 1700176286
Title
Aprn
Phone
(501) 301-4554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

811 N Grant St Apt 5B
Little Rock, AR 72205-3262

Mailing address

811 N Grant St Apt 5B
Little Rock, AR 72205-3262
Phone (501) 301-4554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1811755218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N GRANT ST APT 5B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053262",
            "telephone_number": "501-301-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N GRANT ST APT 5B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053262",
            "telephone_number": "501-301-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI HEIGHTS WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "501-301-4554",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.