DANTIA WELLNESS LLC (NPI# 1891209961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891209961 |
Entity Type | Organization |
Organization Name | DANTIA WELLNESS LLC |
Other Organization Name | ARISE HEALING CENTERS |
Practice Address |
34406 N 27th Dr Ste 140 Phoenix AZ 85085-6079 |
Mailing Address |
Po Box 43527 Phoenix AZ 85080-3527 |
Practice Telephone | 6028595550 |
Mailing Telephone | 6028595550 |
Enumeration Date | 2017-11-27 |
Last Update Date | 2020-07-29 |
Authorized Official Name | ALEXANDRA J HOUSE (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 6028595550 |
Authorized Official Credential | MA, LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | LMFT-15223 | AZ | Behavioral Health & Social Service Providers |
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-16029 | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Arise Healing Centers | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
7301 N 16th St Ste 102, Phoenix, AZ 850205266 | 6028595550 |
Street Address |
34406 N 27TH DR STE 140 |
City | PHOENIX |
State | AZ |
Zip Code | 85085-6079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730447244 | Stephanie Ann Brady | Nurse Practitioner | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2012-05-03 |
1407468630 | Matthew Dwight | Marriage & Family Therapist | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2020-08-19 |
1255968038 | Andrea Fry | Counselor | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2020-03-24 |
1649802828 | Desert Sands Medical Group | Nurse Practitioner | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2020-02-06 |
1215582697 | Kaleigh Rhodes | Social Worker | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2019-08-02 |
1306333133 | Alan P Ketterling | Marriage & Family Therapist | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2018-04-17 |
1700390135 | Nicole Renee Doyle | Social Worker | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085-6079 | 2017-11-21 |
1023540531 | Brentom, LLC | Occupational Therapist | 34406 N 27th Dr Ste 140, Phoenix, AZ 85085 | 2017-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
1083138010 | Larry Leforte II | Emergency Medical Technician, Paramedic | 2018 W Blaylock Dr, Phoenix, AZ 85085 | 2017-08-01 |
1508318809 | Jennifer Falk | Chiropractor | 1614 W Whispering Wind Dr Ste 3, Phoenix, AZ 85085 | 2016-11-03 |
1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
1417333717 | Kristi Everett | Social Worker | 34225 N 27th Dr Bldg 5 Ste 146, Phoenix, AZ 85085 | 2015-08-10 |
1063849834 | Albertsons Pharmacy | Pharmacist | 2406 W Bramble Berry Ln, Phoenix, AZ 85085 | 2013-10-10 |
1427354851 | Carolyn Berg Newsome | Marriage & Family Therapist | 2060 W.whispering Wind Drive, Phoenix, AZ 85085 | 2011-02-02 |
1518273127 | Jamie Lynn Born | Social Worker | 34406 N 27th Dr Bldg 6, Phoenix, AZ 85085 | 2010-08-20 |
1023347218 | Lise Flores-reed | Psychologist | 34225 N. 27th Drive #110, Phoenix, AZ 85085 | 2009-12-17 |
Find all providers in zip 85085 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
Find all providers in PHOENIX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.