Healthcare Provider Details

I. General information

NPI: 1770437907
Provider Name (Legal Business Name): HEALTHWISE WELLNESS AND RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 SHENANDOAH DR
ARDMORE OK
73401-1217
US

IV. Provider business mailing address

PO BOX 1203
ARDMORE OK
73402-1203
US

V. Phone/Fax

Practice location:
  • Phone: 580-245-4427
  • Fax:
Mailing address:
  • Phone: 855-710-6644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARI K HARMAN
Title or Position: MANAGER
Credential: RN, CCM, CWCA, WCN-C
Phone: 580-364-3334