Provider Demographics
NPI:1467218313
Name:WELLNESS MENTAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:WELLNESS MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGICAL EXAMINER- INDEPENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS LEVEL
Authorized Official - Phone:501-247-7111
Mailing Address - Street 1:910 NOTTINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-2397
Mailing Address - Country:US
Mailing Address - Phone:501-247-7111
Mailing Address - Fax:
Practice Address - Street 1:910 NOTTINGHAM CT
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-2397
Practice Address - Country:US
Practice Address - Phone:501-247-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty