Healthcare Provider Details

I. General information

NPI: 1821989328
Provider Name (Legal Business Name): DODD RESTORATIVE MINDS & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 OAK ST # L2
CONWAY AR
72032-4318
US

IV. Provider business mailing address

4460 OREGON TRL
CONWAY AR
72034-3390
US

V. Phone/Fax

Practice location:
  • Phone: 870-995-3320
  • Fax: 501-500-5772
Mailing address:
  • Phone: 870-995-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELANIE WESLEY
Title or Position: OWNER
Credential: APRN-PMHNP-BC
Phone: 870-995-3320