INTEGRATED WELLNESS AND MENTAL HEALTH, LLC - NPI 1053879775

Q: What is Integrated Wellness And Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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About Integrated Wellness And Mental Health, Llc NPPES

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

INTEGRATED WELLNESS AND MENTAL HEALTH, LLC (NPI 1053879775), doing business as Iwamh, is a healthcare organization registered as a psychiatric/mental health in Harrison, Arkansas and active in the NPI registry since March 2019. The organization maintains 2 additional practice locations and lists Zachariah Hodgson, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1053879775

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameINTEGRATED WELLNESS AND MENTAL HEALTH, LLC

Location Address303 W NEWMAN AVEHarrison, AR 72601-5839

Mailing Address401 N 8th St Unit 58Rogers, AR 72757-7148 · (479) 469-0313 · Fax (497) 769-3000

Phone(479) 318-2828

Organization SubpartNo

Authorized OfficialZachariah HodgsonOwner/administrator · (479) 469-0313

Enumeration DateMarch 12, 2019

Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1053879775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

303 W NEWMAN AVE, Harrison, AR 72601

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Other Names 1

Doing Business AsIwamh

Secondary Practice Locations 2

Location 14200 Jenny Lind Rd Ste CFort Smith, AR 72901-7632 · Phone (479) 318-2828

Location 2700 N 40th St Ste BSpringdale, AR 72762-0633 · Phone (479) 318-2828 · Fax (479) 318-2683

Other Identifiers 3

Medicaid203270758AR

Medicaid243164762AR

Medicaid333671002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2265403

Integrated Wellness And Mental Health · Springdale, AR

Expired · Jul 26, 2026

CLIA Number04D2265403

Laboratory TypePhysician Office

Certificate Effective DateJuly 27, 2024

Certificate Expiration DateJuly 26, 2026

Laboratory DirectorMs. Heather Hodgson

Laboratory Phone(479) 318-2828

Laboratory LocationIntegrated Wellness And Mental Health700 N 40th Street, Suite B, Springdale, AR 72762

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMPLE SOUL COUNSELING SERVICES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))