Organization · NPI-2

A1 Integrative Health And Wellness LLC

Integrative Medicine · Phoenix, AZ

NPI number1730041971

StatusActive

Last updated in NPPESNov 25, 2025

Details

NPI: 1730041971
Entity type: Organization (NPI-2)
Legal business name: A1 Integrative Health And Wellness LLC
Organization subpart: No
Enumeration date: Nov 25, 2025
Certification date: Nov 25, 2025
Last updated: Nov 25, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
202D00000X	Integrative Medicine	–	–	Yes
207Q00000X	Family Medicine	–	–
207QA0401X	Family Medicine, Addiction Medicine	–	–
208D00000X	General Practice	–	–
261Q00000X	Clinic/Center	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–

Practice location

1825 E Northern Ave Ste 100
Phoenix, AZ 85020-3953

Phone 602-214-9950

Mailing address

1825 E Northern Ave Ste 100
Phoenix, AZ 85020-3953

Authorized official

Nathian Myers
Ceo
4808815036

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