TIME WELLNESS ARKANSAS TREATMENT RESOURCES LLC
NPI 1265287841
Clinic/Center in Fayetteville, AR

Q: What is Time Wellness Arkansas Treatment Resources LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 18, 2024CLIA 04D2332709 · Waiver

3911 N OLD MISSOURI RD APT 8108, FAYETTEVILLE, AR 72703(954) 654-2350 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Apr 18, 2024 (2 updates tracked since 2024).

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About Time Wellness Arkansas Treatment Resources Llc NPPES

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

TIME WELLNESS ARKANSAS TREATMENT RESOURCES LLC (NPI 1265287841) is a healthcare organization registered as a clinic/center in Fayetteville, Arkansas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Daniel Fesefeldt, Coo, as its authorized official.

NPPES Registry Identity

NPI1265287841

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTIME WELLNESS ARKANSAS TREATMENT RESOURCES LLC

Location Address3911 N OLD MISSOURI RD APT 8108Fayetteville, AR 72703-5722

Mailing Address1830 Wagon Wheel RdSpringdale, AR 72762-7914

Phone(954) 654-2350

Organization SubpartNo

Authorized OfficialDaniel FesefeldtCoo · (954) 654-2350

Enumeration DateApril 18, 2024

Last NPPES UpdateApril 22, 20242 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1265287841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3911 N OLD MISSOURI RD APT 8108, Fayetteville, AR 72703

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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 04D2332709

Time Wellness · Springdale, AR

Active · expires Oct 22, 2027

CLIA Number04D2332709

Laboratory TypeDrug And Alcohol Treatmen

Certificate Effective DateOctober 23, 2025

Certificate Expiration DateOctober 22, 2027

Laboratory DirectorDr. Jawaun M. Lewis

Laboratory Phone(479) 219-2400

Laboratory LocationTime Wellness1830 Wagon Wheel Rd, Springdale, AR 72762

CLIA data matches this NPI record on: Address Name

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

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 Time Wellness Arkansas Treatment Resources LLC's NPI number?

The NPI number for Time Wellness Arkansas Treatment Resources LLC is 1265287841. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Time Wellness Arkansas Treatment Resources LLC located?

Time Wellness Arkansas Treatment Resources LLC is located at 3911 N Old Missouri Rd Apt 8108, Fayetteville, AR 72703. The listed phone number is (954) 654-2350.

What is Time Wellness Arkansas Treatment Resources LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Time Wellness Arkansas Treatment Resources LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2332709) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Time Wellness Arkansas Treatment Resources LLC was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.