Organization · NPI-2
Affirmed Wellness LLC
Community/Behavioral Health · Tempe, AZ
NPI number1730804972
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1730804972
- Entity type
- Organization (NPI-2)
- Legal business name
- Affirmed Wellness LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2022
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Affirmed Wellness Outpatient Treatment Center (Other Name)
Practice location
4801 S Lakeshore Dr Ste 102Tempe, AZ 85282-7156
Phone 480-570-5577
Mailing address
4939 W Ray Rd Ste 4-231Chandler, AZ 85226-2065
Authorized official
Kiyah Jones
Owner
4809015195
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