Vitalis Wellness Center, Az Pc

LBN: Vitalis Wellness Center Of Phoenix, Az Pc
Vitalis Wellness Center, Az Pc is an health care organization with primary practice located at 1910 S Stapley Dr Ste 120 , Mesa AZ 85204-6676. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Brain Injury Medicine is the primary health care specialty. Vitalis Wellness Center Of Phoenix, Az Pc can be contacted via phone (800) 922-1873, or through Samuel, Nellie Idara via phone (800) 922-1873.

Contact Information

Primary practice address
1910 S Stapley Dr Ste 120 Mesa AZ 85204-6676
Phone: (800) 922-1873
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samuel, Nellie Idara DNP
Phone: (800) 922-1873

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1497421101
LBN Legal business name Vitalis Wellness Center Of Phoenix, Az Pc
DBA Doing business as Vitalis Wellness Center, Az Pc
Authorized official Samuel, Nellie Idara DNP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2021
Last updated Jul 19th, 2024 - about 2 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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