WILD & WELL RECOVERY LLC NPI 1205537693

NPI Information

  • NPI: 1205537693
  • Provider Name: WILD & WELL RECOVERY LLC
  • Classification: Psychologist - 103TR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 211 E CAMPO DESIERTO RD
    TEMPE, AZ
    ZIP 85288
  • Phone: (435) 669-6669

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NPI Details

WILD & WELL RECOVERY LLC is a rehabilitation psychologist in Tempe, AZ. The provider is a psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities. WILD & WELL RECOVERY LLC NPI is 1205537693. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 E CAMPO DESIERTO RD
TEMPE, AZ
ZIP 85288-161
Phone: (435) 669-6669

The provider's authorized official is Adam Ahquin .
The authorized official title is Executive Director and has the following contact phone number (435) 669-6669.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 3/14/2023.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TP2701XPsychologistGroup PsychotherapyNo
3103TR0400XPsychologistRehabilitationYes

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: 11/21/2025

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