# OUR BROTHER'S KEEPER WELLNESS ORGANIZATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Our Brother's Keeper Wellness Organization
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720751373
- **Authorized official:** TANYA MARYIE BELL-BROOKS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (501) 412-2268

## Contact information

- **Practice address:** 7101 W 12TH ST STE 200I, LITTLE ROCK, AR 72204-2404
- **Practice address phone:** (501) 647-1042
- **Mailing address:** PO BOX 46346, LITTLE ROCK, AR 72214-6346
- **Mailing address phone:** (501) 647-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 07/29/2021
- **Last updated:** 07/29/2021