SURRENDER WELLNESS CENTER NPI 1649966607

NPI Information

  • NPI: 1649966607
  • Provider Name: SURRENDER WELLNESS CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1206 E HIGHLAND AVE UNIT 205
    PHOENIX, AZ
    ZIP 85014
  • Phone: (602) 716-1821

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NPI Details

SURRENDER WELLNESS CENTER is a mental health (including community mental health center) clinic center in Phoenix, AZ. SURRENDER WELLNESS CENTER NPI is 1649966607. The provider is registered as an organization entity type.

The provider's business location address is:

1206 E HIGHLAND AVE UNIT 205
PHOENIX, AZ
ZIP 85014-053
Phone: (602) 716-1821

The provider's authorized official is Lincoln Anthony Harris .
The authorized official title is Ceo and has the following contact phone number (602) 716-1821.

The enumeration date for this NPI number is 4/13/2023 and was last updated on 4/13/2023.

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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 3/30/2025

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