Healthcare Provider Details

I. General information

NPI: 1861320202
Provider Name (Legal Business Name): LA MORRISON HEALING FRIENDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 MEDICAL CENTER PKWY STE 140
BENTONVILLE AR
72712-3212
US

IV. Provider business mailing address

10068 WAGER RD
SPRINGDALE AR
72762-9049
US

V. Phone/Fax

Practice location:
  • Phone: 801-673-1393
  • Fax:
Mailing address:
  • Phone: 801-673-1393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146E00000X
TaxonomyCommunity Paramedic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LYNNETTE ANNE MORRISON
Title or Position: OWNER
Credential: MD
Phone: 801-673-1393