Organization · NPI-2

Amicus Health And Wellness LLC

Nurse Practitioner, Psych/Mental Health · Tempe, AZ

NPI number1295582344
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1295582344
Entity type
Organization (NPI-2)
Legal business name
Amicus Health And Wellness LLC
Organization subpart
No
Enumeration date
May 6, 2024
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

2111 E Baseline Rd Ste C8
Tempe, AZ 85283-1521

Phone 480-809-1765

Mailing address

2111 E Baseline Rd Ste C8
Tempe, AZ 85283-1521

Phone 480-809-1765 · Fax 480-602-4406

Authorized official

Saleh Bahati
Pmhnp, Mph
4808091765

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