Healthcare Provider Details

I. General information

NPI: 1265371744
Provider Name (Legal Business Name): ABSOLUTE WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 S PINE ST
CABOT AR
72023-3436
US

IV. Provider business mailing address

PO BOX 1312
CABOT AR
72023-1312
US

V. Phone/Fax

Practice location:
  • Phone: 501-453-0509
  • Fax:
Mailing address:
  • Phone: 501-453-0509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KINDRA DAYE WITKOWSKI
Title or Position: OWNER
Credential: APRN
Phone: 501-453-0509