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FUNCTIONAL HEADACHE AND WELLNESS MEDICINE
NPI 1053244517
Clinic/Center - Health Service in Black Rock, AR

Active since June 04, 2026
79 LAWRENCE ROAD 1315, BLACK ROCK, AR 72415(870) 878-2188 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Functional Headache And Wellness Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL HEADACHE AND WELLNESS MEDICINE (NPI 1053244517) is a healthcare organization registered as a health service in Black Rock, Arkansas and active in the NPI registry since June 2026. The organization lists Amy Freeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1053244517
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFUNCTIONAL HEADACHE AND WELLNESS MEDICINE
Location Address79 LAWRENCE ROAD 1315Black Rock, AR 72415-9158
Mailing Address79 Lawrence Road 1315Black Rock, AR 72415-9158 · (870) 878-2188
Phone(870) 878-2188
Organization SubpartNo
Authorized OfficialAmy FreemanOwner · (870) 878-2188
Enumeration DateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1053244517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
79 LAWRENCE ROAD 1315, Black Rock, AR 72415
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Frequently Asked Questions

What is FUNCTIONAL HEADACHE AND WELLNESS MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1053244517, enumerated as an "organization" on June 04, 2026.

Where is the provider located?

The provider is located at 79 LAWRENCE ROAD 1315 BLACK ROCK, AR 72415 and the phone number is (870) 878-2188.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.