=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225827249
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALIANT MENTAL HEALTH AND WELLNESS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2025
-----------------------------------------------------
Last Update Date | 05/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4815 BOARDWALK
-----------------------------------------------------
City | BENTON
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72019-8760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-298-4456
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 35
-----------------------------------------------------
City | BENTON
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72018-0035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-298-4456
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DNP, APRN, PMHNP-BC/OWNER
-----------------------------------------------------
Name | EMILY ARNOLD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 501-298-4456
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------