Organization · NPI-2
A1 Integrative Health And Wellness LLC
Clinic/Center · Phoenix, AZ
NPI number1487517736
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1487517736
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Integrative Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2025
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 207N00000X | Dermatology | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
1825 E Northern Ave Ste 100Phoenix, AZ 85020-3953
Phone 602-214-9950 · Fax 480-956-0844
Mailing address
1825 E Northern Ave Ste 100Phoenix, AZ 85020-3953
Phone 602-214-9950 · Fax 480-956-0844
Authorized official
Nathian Myers
Owner
4808815036
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