Provider Demographics
NPI:1255600219
Name:HELLO WELLNESS, PLC
Entity type:Organization
Organization Name:HELLO WELLNESS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRACY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-442-4553
Mailing Address - Street 1:1742 E JOYCE BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5100
Mailing Address - Country:US
Mailing Address - Phone:479-442-4553
Mailing Address - Fax:479-251-1006
Practice Address - Street 1:1742 E JOYCE BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5100
Practice Address - Country:US
Practice Address - Phone:479-442-4553
Practice Address - Fax:479-251-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty