Healthcare Provider Details
I. General information
NPI: 1356236384
Provider Name (Legal Business Name): HARMONY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3801 CAMDEN ROAD SUITE 22
PINE BLUFF AR
71603
US
IV. Provider business mailing address
1560 PUMPKIN HILL RD
RISON AR
71665-8727
US
V. Phone/Fax
- Phone: 870-461-1517
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
RAWLS
Title or Position: OWNER/PROVIDER
Credential: APRN
Phone: 870-461-1517