Provider Demographics
NPI:1407516537
Name:W. M. HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:W. M. HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WANSLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSW-G
Authorized Official - Phone:479-274-8847
Mailing Address - Street 1:5101 OLD GREENWOOD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6913
Mailing Address - Country:US
Mailing Address - Phone:479-274-8847
Mailing Address - Fax:
Practice Address - Street 1:5101 OLD GREENWOOD RD STE 105
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6913
Practice Address - Country:US
Practice Address - Phone:479-274-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-30
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty