Organization · NPI-2

All Arizona Wellness

Nurse Practitioner, Psych/Mental Health · Tempe, AZ

NPI number1104673755
StatusActive
Last updated in NPPESFeb 7, 2026

Details

NPI
1104673755
Entity type
Organization (NPI-2)
Legal business name
All Arizona Wellness
Organization subpart
No
Enumeration date
May 2, 2024
Certification date
Feb 7, 2026
Last updated
Feb 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
363LF0000X Nurse Practitioner, Family––
363L00000X Nurse Practitioner––

Other names

  • Soma Integrated Psychiatric (Doing Business As)

Practice location

2111 E Baseline Rd Ste C6
Tempe, AZ 85283-1521

Phone 480-382-8284

Mailing address

2111 E Baseline Rd Ste C6
Tempe, AZ 85283-1521

Phone 480-382-8284 · Fax 480-933-8422

Authorized official

Liana Lorraine Flores
Owner
4803822588

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