Healthcare Provider Details
I. General information
NPI: 1386500593
Provider Name (Legal Business Name): HARMONY HEALTH CLINIC WYNNE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15111 US-165
SCOTT AR
72142
US
IV. Provider business mailing address
1920 FALLS BLVD N
WYNNE AR
72396-4027
US
V. Phone/Fax
- Phone: 870-587-0800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AARON
JAY
MITCHELL
Title or Position: CEO
Credential:
Phone: 870-739-8670