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Contact Information

THE LONGEVITY AND WELLNESS CLINIC
3317 S HIGLEY RD STE 114-418
GILBERT, AZ85297-5436
 Phone: 480-710-3085
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for THE LONGEVITY AND WELLNESS CLINIC

NPI # 1255204988
LBN Legal business name THE LONGEVITY AND WELLNESS CLINIC
Authorized official TERRENCE CROWDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2025
Last updated 09/29/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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