Provider Demographics
NPI:1710759170
Name:CAPSTONE WELLNESS
Entity Type:Organization
Organization Name:CAPSTONE WELLNESS
Other - Org Name:CAPSTONE PSYCHIATRIC SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF BILLING/CONTRACTING
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-827-0989
Mailing Address - Street 1:915 E BEEBE CAPPS EXPY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6865
Mailing Address - Country:US
Mailing Address - Phone:501-729-1700
Mailing Address - Fax:877-310-6350
Practice Address - Street 1:915 E BEEBE CAPPS EXPY STE 2
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6865
Practice Address - Country:US
Practice Address - Phone:501-729-1700
Practice Address - Fax:877-310-6350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty