Organization Active NPI

LW Brewer Wellness Associates, PLLC

  • Adult Mental Health Clinic/Center
  • Little Rock, AR
National Provider Identifier
1972040566
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
10-00P Issued in AR
Legal business name
LW BREWER WELLNESS ASSOCIATES, PLLC
Practice address
2725 Cantrell Rd
Ste 106
Little Rock, AR 72202-2016
Phone
(501) 246-0265
Fax
(501) 734-8262
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Linda W Brewer, PHD
Title
Owner/Psychologist
Phone
(501) 246-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 10-00P AR Primary

Addresses

Primary practice location

2725 Cantrell Rd
Ste 106
Little Rock, AR 72202-2016

Mailing address

47 Crystalwood Dr
Little Rock, AR 72210-5397
Phone (501) 246-0265

Other identifiers 1

IdentifierTypeStateIssuer
1376792796OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1972040566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CRYSTALWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105397",
            "telephone_number": "501-246-0265",
            "fax_number": "501-734-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CANTRELL RD",
            "address_2": "STE 106",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722022016",
            "telephone_number": "501-246-0265",
            "fax_number": "501-734-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LW BREWER WELLNESS ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "501-246-0265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "10-00P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1376792796",
            "state": null
        }
    ],
    "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 Jan 20, 2017; 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.