About Vitality Telehealth
Lori Smith runs Vitality Telehealth as a solo practice in Arkadelphia and sees most patients by video. Her hormone work is framed as hormone optimization rather than menopause care, though the site lists reduced hot flashes, night sweats and insomnia among what her bioidentical hormone therapy does for women. She also runs a direct primary care membership that covers preventive visits, chronic disease management and unlimited messaging, so hormone care can sit inside ongoing primary care. Prescribed therapies are shipped to your door, and new patients book a 45 minute telehealth consultation straight from her calendar. Alongside hormones she prescribes weight loss medication and peptide therapy, and she runs a separate aesthetics business out of the same office. She says patients come to her after being told by other providers that they are just getting old.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Weight & metabolism
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
Available — prices aren’t published, ask for rates
The practice says it does not accept or bill insurance and charges a subscription instead.
Verified September 2026.
Qualifications
DNP, APRN, FNP-C
