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Contact Information

INTEGRATED WELLNESS CENTER LLC
2316 W NORTHERN AVE
PHOENIX, AZ85021-4935
 Phone: 602-838-7799
 Fax: 602-844-2525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Clinic/Center

261Q00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for INTEGRATED WELLNESS CENTER LLC

NPI # 1760175723
LBN Legal business name INTEGRATED WELLNESS CENTER LLC
Authorized official RAVIKULASINGHAM THURAISINGAM - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2023
Last updated 05/30/2023 - About 3 years 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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