National Provider Identifier Database

HEALING EDGE NW
Health Service


Contact Information

HEALING EDGE NW
3030 N LITCHFIELD RD STE 120
GOODYEAR, AZ85395-7803
Phone: 623-204-5604
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for HEALING EDGE NW

NPI Number 1295458388
Legal business name
LBN
HEALING EDGE NW
Authorized official TONI BENNALLEY - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/22/2022
Last updated 01/08/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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