DIVINE WELLNESS PSYCHIATRIC SERVICES PLLC
NPI 1245007210
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since December 08, 2023
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012(602) 465-6011 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Wellness Psychiatric Services Pllc NPPES

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

DIVINE WELLNESS PSYCHIATRIC SERVICES PLLC (NPI 1245007210) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since December 2023. The organization lists Iheanyi Amanwanne, Owner, as its authorized official.

NPPES Registry Identity

NPI1245007210
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE WELLNESS PSYCHIATRIC SERVICES PLLC
Location Address3101 N CENTRAL AVE STE 183Phoenix, AZ 85012-3616
Mailing Address3880 W Ranier Ct Ste 183Anthem, AZ 85086-8018 · (602) 465-6011
Organization SubpartNo
Authorized OfficialIheanyi AmanwanneOwner · (602) 465-6011
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
NPI 1245007210 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
3101 N CENTRAL AVE STE 183, Phoenix, AZ 85012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

In Home Supportive Care
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Non-emergency Medical Transport (VAN)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Social Worker (Clinical)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Home Health
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Registered Nurse (Home Health)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Nurse Practitioner (Psychiatric/Mental Health)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Nurse Practitioner (Psychiatric/Mental Health)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012
Nurse Practitioner (Psychiatric/Mental Health)
3101 N CENTRAL AVE STE 183
PHOENIX, AZ 85012

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 Divine Wellness Psychiatric Services PLLC's NPI number?

The NPI number for Divine Wellness Psychiatric Services PLLC is 1245007210. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Divine Wellness Psychiatric Services PLLC located?

Divine Wellness Psychiatric Services PLLC is located at 3101 N Central Ave Ste 183, Phoenix, AZ 85012. The listed phone number is (602) 465-6011.

What is Divine Wellness Psychiatric Services PLLC'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 Divine Wellness Psychiatric Services PLLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.