| Virtual Wellness Healthcare Llc | |
|
8908 Kanis Rd Ste 1 Little Rock AR 72205-6414 | |
| (501) 590-6248 | |
| Not Available |
| Full Name | Virtual Wellness Healthcare Llc |
|---|---|
| Speciality | Counselor |
| Location | 8908 Kanis Rd Ste 1, Little Rock, Arkansas |
| Authorized Official Name and Position | Kathy Lynette Woods (CO-OWNER) |
| Authorized Official Contact | 5012442121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Wellness Healthcare Llc 2725 Serenade Dr Sherwood AR 72120-4358 Ph: (501) 590-6248 | Virtual Wellness Healthcare Llc 8908 Kanis Rd Ste 1 Little Rock AR 72205-6414 Ph: (501) 590-6248 |
| NPI Number | 1295307031 |
|---|---|
| Provider Enumeration Date | 07/12/2021 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Medicare PECOS PAC ID | 4587052725 |
|---|---|
| Medicare Enrollment ID | O20211021000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295307031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Lynn M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918505 PECOS PAC ID: 9537182829 Enrollment ID: I20060121000014 |
| Provider Name | Kathy L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205011541 PECOS PAC ID: 5294866331 Enrollment ID: I20100706000378 |
| Provider Name | Erma Marie Storay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275521056 PECOS PAC ID: 5496143638 Enrollment ID: I20211021000309 |
| Provider Name | Marilyn Anne Johnson-mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679198287 PECOS PAC ID: 8022406263 Enrollment ID: I20211103000112 |
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