# HEALTHY CONNECTIONS SPECIALTY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245774041
- **Authorized official:** SHANA BUSH (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (479) 437-3449

## Contact information

- **Practice address:** 136 HEALTH PARK DR, MENA, AR 71953-9072
- **Practice address phone:** (479) 437-3449
- **Practice address fax:** (479) 437-3708
- **Mailing address:** PO BOX 1848, MENA, AR 71953-1841
- **Mailing address phone:** (479) 437-3449
- **Mailing address fax:** (479) 243-0285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 12/13/2016
- **Last updated:** 05/13/2020