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General NPI Number Information
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NPI Number | 1952124588
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Entity Type | Organization
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Legal Business Name | TELEWELLNESS, PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1040 SANTA FE TRL
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City | BAUXITE
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State | AR
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Zip | 72011-5001
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Country | US
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Telephone | 870-820-8167
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 CANTRELL RD # 2427
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City | LITTLE ROCK
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State | AR
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Zip | 72207-4135
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Country | US
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Telephone | 501-574-2964
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | FELICIA NOWLIN
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Credential | MSN, APRN
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Telephone | 870-820-8167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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