Provider Demographics
NPI:1962101402
Name:BEYOND WELLNESS LLC
Entity type:Organization
Organization Name:BEYOND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-658-1051
Mailing Address - Street 1:25255 HIGHWAY 5 STE J
Mailing Address - Street 2:
Mailing Address - City:LONSDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72087-9102
Mailing Address - Country:US
Mailing Address - Phone:501-476-7171
Mailing Address - Fax:501-922-4164
Practice Address - Street 1:25255 HIGHWAY 5 STE J
Practice Address - Street 2:
Practice Address - City:LONSDALE
Practice Address - State:AR
Practice Address - Zip Code:72087-9102
Practice Address - Country:US
Practice Address - Phone:501-476-7171
Practice Address - Fax:501-922-4164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty