Organization · NPI-2

A&B Wellness INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Mesa, AZ

NPI number1194421859
StatusActive
Last updated in NPPESMar 28, 2023

Details

NPI
1194421859
Entity type
Organization (NPI-2)
Legal business name
A&B Wellness INC.
Organization subpart
No
Enumeration date
Feb 3, 2023
Certification date
Mar 28, 2023
Last updated
Mar 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QD1600X Clinic/Center, Developmental Disabilities––
261QM0850X Clinic/Center, Adult Mental Health––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

1255 W Baseline Rd Ste 256
Mesa, AZ 85202-5822

Phone 630-399-1885

Mailing address

1255 W Baseline Rd Ste 256
Mesa, AZ 85202-5822

Authorized official

Alonzo Lawrence
Owner
6017914368

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Mesa, AZ