OrganizationActive
Functional Headache and Wellness Medicine
NPI 1053244517 · Health Service Clinic/Center · Black Rock, AR
Provider details
- NPI number
- 1053244517
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Freeman, Owner(870) 878-2188
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
79 Lawrence Road 1315
Black Rock, AR 72415-9158
Phone: (870) 878-2188
Approximate (ZIP-level) locationGet directions
Mailing address
79 Lawrence Road 1315
Black Rock, AR 72415-9158
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.