Healthcare Provider Details

I. General information

NPI: 1346087798
Provider Name (Legal Business Name): THINK WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 N TACOMA ST
FARMINGTON AR
72730-4026
US

IV. Provider business mailing address

489 N TACOMA ST
FARMINGTON AR
72730-4026
US

V. Phone/Fax

Practice location:
  • Phone: 916-223-2047
  • Fax:
Mailing address:
  • Phone: 916-223-2047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN JOELLE KOBLISKA
Title or Position: LICENSED PSYCHOLOGIST/OWNER
Credential: LP
Phone: 916-223-2047