VIVIFY WELLNESS LLC
NPI 1366807596
Counselor - Addiction (Substance Use Disorder) in Mesa, AZ

Q: What is Vivify Wellness LLC's NPI number?

The NPI number for Vivify Wellness LLC is 1366807596. It was assigned to this organization in the NPPES registry on December 14, 2015.

Q: What is Vivify Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since December 14, 2015

2345 S ALMA SCHOOL RD, SUITE 105, MESA, AZ 85210(480) 206-4753 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vivify Wellness Llc NPPES

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

VIVIFY WELLNESS LLC (NPI 1366807596) is a healthcare organization registered as an addiction (substance use disorder) in Mesa, Arizona and active in the NPI registry since December 2015. The organization lists Laura Fontaine, Owner, as its authorized official.

NPPES Registry Identity

NPI1366807596

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameVIVIFY WELLNESS LLC

Location Address2345 S ALMA SCHOOL RD, SUITE 105Mesa, AZ 85210-4012

Mailing Address18445 E Pine Valley DrQueen Creek, AZ 85142-3622 · (480) 206-4753

Phone(480) 206-4753

Organization SubpartNo

Authorized OfficialLaura FontaineOwner · (480) 987-6529

Enumeration DateDecember 14, 2015

✔ NPI 1366807596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · 10622

2345 S ALMA SCHOOL RD, Mesa, AZ 85210

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Other Identifiers 1

Other10622AZ · License

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 4

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

ROSA RUALES

Counselor (Professional)

2345 S ALMA SCHOOL RD, SUITE 105
MESA, AZ 85210

Maricopa County (480) 703-4495

MS. TERI VIRGINIA KRULL LCSW

Social Worker (Clinical)

2345 S ALMA SCHOOL RD, 110
MESA, AZ 85210

Maricopa County (480) 917-7792

BEYOND COUNSELING LLC

Counselor (Professional)

2345 S ALMA SCHOOL RD, SUITE 105
MESA, AZ 85210

Maricopa County (480) 703-4405

AMY BOYLAN

Counselor (Mental Health)

2345 S ALMA SCHOOL RD, SUITE 105
MESA, AZ 85210

Maricopa County (480) 294-9143

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 Vivify Wellness LLC's NPI number?

The NPI number for Vivify Wellness LLC is 1366807596. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Vivify Wellness LLC located?

Vivify Wellness LLC is located at 2345 S Alma School Rd Suite 105, Mesa, AZ 85210. The listed phone number is (480) 206-4753.

What is Vivify Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Vivify Wellness LLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.