Provider Demographics
NPI:1366167181
Name:WOMENS WELLNESS PARTNERS NWA
Entity type:Organization
Organization Name:WOMENS WELLNESS PARTNERS NWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIPSYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:479-595-1482
Mailing Address - Street 1:908 S WALTON BLVD STE 35
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-6287
Mailing Address - Country:US
Mailing Address - Phone:479-362-5724
Mailing Address - Fax:
Practice Address - Street 1:908 S WALTON BLVD STE 35
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-6287
Practice Address - Country:US
Practice Address - Phone:479-362-5724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty