PHOENIX WELLNESS CENTER NPI 1194232512

NPI Information

NPI: 1194232512
Provider Name: PHOENIX WELLNESS CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2060 W WHISPERING WIND DR STE 270
PHOENIX, AZ
ZIP 85085
Phone: (480) 653-8434
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PHOENIX WELLNESS CENTER is a mental health counselor in Phoenix, AZ. PHOENIX WELLNESS CENTER NPI is 1194232512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2060 W WHISPERING WIND DR STE 270
PHOENIX, AZ
ZIP 85085
Phone: (480) 653-8434
Fax: (623) 258-4077

The provider's authorized official is Tonya Kinnaman .
The authorized official title is Clinical Director and has the following contact phone number (480) 653-8434.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 8/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	OTC8779	ARIZONA	No
2	101YM0800X	Counselor	Mental Health	CSLG8879	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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