GRAND CANYON WELLNESS CENTER
NPI 1356919583
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ
About Grand Canyon Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND CANYON WELLNESS CENTER (NPI 1356919583) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since June 2021. The organization lists Niecey Bolden, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Grand Canyon Wellness Center's NPI number?
The NPI number for Grand Canyon Wellness Center is 1356919583. It was assigned to this organization in the NPPES registry on June 14, 2021.
Where is Grand Canyon Wellness Center located?
Grand Canyon Wellness Center is located at 2423 W Dunlap Ave Ste 110, Phoenix, AZ 85021. The listed phone number is (702) 677-7410.
What is Grand Canyon Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Grand Canyon Wellness Center was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grand Canyon Wellness Center · NPI 1356919583
Mental Health (Including Community Mental Health Center) organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since June 14, 2021.
## Identity
- **NPI:** 1356919583 (Entity type: Organization)
- **Enumerated:** June 14, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Niecey Bolden, OWNER
## Practice location
- **Address:** 2423 W DUNLAP AVE STE 110, Phoenix, AZ 85021-2830
- **Phone:** (702) 677-7410
## Record status
- **NPPES last updated:** June 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356919583) · Data from the CMS NPPES public registry.