Valley Resilient Wellness LLC
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1760173645
StatusActive
Last updated in NPPESMay 19, 2023
Details
- NPI
- 1760173645
- Entity type
- Organization (NPI-2)
- Legal business name
- Valley Resilient Wellness LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2023
- Certification date
- May 19, 2023
- Last updated
- May 19, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
45 E Monterey Way Ste 201Phoenix, AZ 85012-2757
Phone 480-369-9261
Mailing address
45 E Monterey Way Ste 201Phoenix, AZ 85012-2757
Phone 480-369-9261
Authorized official
Dominecaa White
Ceo/Clinician
4803699261
Is something wrong?
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