HEALING EDGE NW NPI 1295458388

NPI Information

  • NPI: 1295458388
  • Provider Name: HEALING EDGE NW
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 3030 N LITCHFIELD RD STE 120
    GOODYEAR, AZ
    ZIP 85395
  • Phone: (623) 204-5604

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NPI Details

HEALING EDGE NW is a health service clinic center in Goodyear, AZ. HEALING EDGE NW NPI is 1295458388. The provider is registered as an organization entity type.

The provider's business location address is:

3030 N LITCHFIELD RD STE 120
GOODYEAR, AZ
ZIP 85395-803
Phone: (623) 204-5604

The provider's authorized official is Toni Bennalley .
The authorized official title is Owner and has the following contact phone number (623) 777-4555.

The enumeration date for this NPI number is 9/22/2022 and was last updated on 10/1/2025.

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
1261QH0100XClinic/CenterHealth ServiceYes

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

NPI Synchronization or Removal

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