Mindful Wellness Of Az Llc

LBN: Mindful Wellness Of Az Llc
Mindful Wellness Of Az Llc is an health care organization with primary practice located at 8751 N 51St Ave Ste 108 , Glendale AZ 85302-4943. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Recovery Care. Agencies / Community/Behavioral Health is the primary health care specialty. Mindful Wellness Of Az Llc can be contacted via phone (520) 329-5283, or through Jenkins, Wellengten via phone (602) 421-6661.

Contact Information

Primary practice address
8751 N 51St Ave Ste 108 Glendale AZ 85302-4943
Phone: (520) 329-5283
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Wellengten
Phone: (602) 421-6661

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1609511369
LBN Legal business name Mindful Wellness Of Az Llc
DBA Doing business as
Authorized official Jenkins, Wellengten
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2022
Last updated Apr 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609511369 NPPES
Arizona MEDICAID 874442042

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