Provider Demographics
NPI:1790115335
Name:NEW DIRECTIONS HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:NEW DIRECTIONS HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D'WAYNE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACOG
Authorized Official - Phone:479-268-6404
Mailing Address - Street 1:5431 W PINNACLE POINTE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-7032
Mailing Address - Country:US
Mailing Address - Phone:479-268-6404
Mailing Address - Fax:479-657-6315
Practice Address - Street 1:5431 W PINNACLE POINTE DR STE 104
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-7032
Practice Address - Country:US
Practice Address - Phone:479-268-6404
Practice Address - Fax:479-464-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty