FUNCTIONAL HEADACHE AND WELLNESS MEDICINE
NPI 1053244517
Clinic/Center - Health Service in Black Rock, AR
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
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Functional Headache And Wellness Medicine's NPI number?
The NPI number for Functional Headache And Wellness Medicine is 1053244517. It was assigned to this organization in the NPPES registry on June 4, 2026.
Where is Functional Headache And Wellness Medicine located?
Functional Headache And Wellness Medicine is located at 79 Lawrence Road 1315, Black Rock, AR 72415. The listed phone number is (870) 878-2188.
What is Functional Headache And Wellness Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
When was this NPI record last updated?
The NPPES record for Functional Headache And Wellness Medicine was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Functional Headache And Wellness Medicine · NPI 1053244517
Health Service organization in Black Rock, Arkansas. Organization record, active in the CMS NPPES registry since June 4, 2026.
## Identity
- **NPI:** 1053244517 (Entity type: Organization)
- **Enumerated:** June 4, 2026
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Amy Freeman, OWNER
## Practice location
- **Address:** 79 LAWRENCE ROAD 1315, Black Rock, AR 72415-9158
- **Phone:** (870) 878-2188
## Record status
- **NPPES last updated:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053244517) · Data from the CMS NPPES public registry.