WD RECOVERY AND WELLNESS CENTER LLC NPI 1669986998

NPI Information

NPI: 1669986998
Provider Name: WD RECOVERY AND WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 03D2148265

Address:
7330 N 16TH ST STE B101
PHOENIX, AZ
ZIP 85020
Phone: (888) 316-3506
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WD RECOVERY AND WELLNESS CENTER, LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. WD RECOVERY AND WELLNESS CENTER, LLC NPI is 1669986998. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7330 N 16TH ST STE B101
PHOENIX, AZ
ZIP 85020-274
Phone: (888) 316-3506
Fax: (480) 653-8666

The provider's authorized official is Ocean Wolpert .
The authorized official title is Administrator and has the following contact phone number (602) 732-1151.

The CLIA number assigned to this NPI record is 03D2148265 - other - beh health partial hosp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 2/12/2021.

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	Primary
1	164X00000X	Licensed Vocational Nurse		No
2	261Q00000X	Clinic/Center		No
3	261QC1500X	Clinic/Center	Community Health	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
6	261QR0800X	Clinic/Center	Recovery Care	No
7	324500000X	Substance Abuse Rehabilitation Facility		No
8	106H00000X	Marriage & Family Therapist		No
9	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
10	101YP2500X	Counselor	Professional	No
11	133N00000X	Nutritionist		No
12	133NN1002X	Nutritionist	Nutrition, Education	No
13	261QM0801X	Clinic/Center	Mental 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: 4/28/2024

NPI Synchronization or Removal

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