Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

APPELLO HEALTH AND WELLNESS CLINIC, LLC
NPI 1215773262
Clinic/Center - Rural Health in Malvern, AR

Q: What is Appello Health And Wellness Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 08, 2024CLIA Certified · 2 labs

2223 GRANT ST, MALVERN, AR 72104(501) 337-9031 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 31, 2026, Feb 10, 2025, Jul 8, 2024 (3 updates tracked since 2024).

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About Appello Health And Wellness Clinic, Llc NPPES

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

APPELLO HEALTH AND WELLNESS CLINIC, LLC (NPI 1215773262) is a healthcare organization registered as a rural health in Malvern, Arkansas and active in the NPI registry since July 2024. The organization holds 2 active CLIA laboratory certificates and lists Jason Wayne Lee, Manager, as its authorized official.

NPPES Registry Identity

NPI1215773262

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameAPPELLO HEALTH AND WELLNESS CLINIC, LLC

Location Address2223 GRANT STMalvern, AR 72104-4700

Mailing Address500 President Clinton Ave Ste 200-fLittle Rock, AR 72201-1756 · (501) 337-9031

Phone(501) 337-9031

Organization SubpartNo

Authorized OfficialJason Wayne LeeManager · (501) 772-7518

Enumeration DateJuly 8, 2024

Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1215773262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

2223 GRANT ST, Malvern, AR 72104

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CLIA Laboratory Certificates CMS CLIA 2

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 04D2314349

Appello Health And Wellness Medical Clinic · Malvern, AR

Active · expires Nov 18, 2026

CLIA Number04D2314349

Laboratory TypePhysician Office

Certificate Effective DateNovember 19, 2024

Certificate Expiration DateNovember 18, 2026

Laboratory DirectorDalana Huckaby

Laboratory Phone(501) 337-9031

Laboratory LocationAppello Health And Wellness Medical Clinic2223 Grant St, Malvern, AR 72104

CLIA data matches this NPI record on: Address Phone

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

Certificate of Waiver 04D2346150

Appello Health And Wellness Clinic - Marshall · Marshall, AR

Active · expires Jun 23, 2028

CLIA Number04D2346150

Laboratory TypeRural Health Clinic

Certificate Effective DateJune 24, 2026

Certificate Expiration DateJune 23, 2028

Laboratory DirectorDalana Huckaby

Laboratory Phone(501) 337-9031

Laboratory LocationAppello Health And Wellness Clinic - Marshall940 Hwy 65N, Marshall, AR 72650

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 10

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

MRS. DEBRA WADE APRN

Nurse Practitioner (Psychiatric/Mental Health)