THESELAH WELLNESS LLC
NPI 1144901315
Nurse Practitioner - Psychiatric/Mental Health in Surprise, AZ

Active since July 31, 2023
16416 W DESERT MIRAGE DR, SURPRISE, AZ 85388(480) 360-1002 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Theselah Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THESELAH WELLNESS LLC (NPI 1144901315) is a healthcare organization registered as a psychiatric/mental health in Surprise, Arizona and active in the NPI registry since July 2023. The organization lists Kalu Okorie, Dnp, as its authorized official.

NPPES Registry Identity

NPI1144901315
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHESELAH WELLNESS LLC
Location Address16416 W DESERT MIRAGE DRSurprise, AZ 85388-5491
Mailing Address16416 W Desert Mirage DrSurprise, AZ 85388-5491 · (480) 360-1002
Organization SubpartNo
Authorized OfficialKalu OkorieDnp · (480) 360-1002
Enumeration DateJuly 31, 2023
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1144901315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
16416 W DESERT MIRAGE DR, Surprise, AZ 85388

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
16416 W DESERT MIRAGE DR
SURPRISE, AZ 85388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theselah Wellness LLC's NPI number?

The NPI number for Theselah Wellness LLC is 1144901315. It was assigned to this organization in the NPPES registry on July 31, 2023.

Where is Theselah Wellness LLC located?

Theselah Wellness LLC is located at 16416 W Desert Mirage Dr, Surprise, AZ 85388. The listed phone number is (480) 360-1002.

What is Theselah Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Theselah Wellness LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.