NOVA VIA GLENDALE LLC NPI 1801764212

NPI Information

  • NPI: 1801764212
  • Provider Name: NOVA VIA GLENDALE LLC
  • Classification: Integrative Medicine - 202D00000X
  • Entity Type: Organization
  • Address: 6830 N 55TH AVE
    SUITE 100
    GLENDALE, AZ
    ZIP 85301
  • Phone: (480) 543-7432

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NPI Details

NOVA VIA GLENDALE LLC is an integrative medicine in Glendale, AZ. The provider is a physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing. NOVA VIA GLENDALE LLC NPI is 1801764212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6830 N 55TH AVE
SUITE 100
GLENDALE, AZ
ZIP 85301
Phone: (480) 543-7432

The provider's authorized official is Stephanie Jolly .
The authorized official title is Chief Compliance Officer and has the following contact phone number (480) 543-7432.

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerNo
4106S00000XBehavior TechnicianNo
5111N00000XChiropractorNo
6133N00000XNutritionistNo
7163W00000XRegistered NurseNo
8164W00000XLicensed Practical NurseNo
9207QA0401XFamily MedicineAddiction MedicineNo
10207QA0505XFamily MedicineAdult MedicineNo
11208100000XPhysical Medicine & RehabilitationNo
122083A0300XPreventive MedicineAddiction MedicineNo
13251B00000XCase ManagementNo
14202D00000XIntegrative MedicineYes

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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