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SOUL SURGERY WILSON SMITH CENTER LLC
NPI 1699469593
Substance Abuse Rehabilitation Facility in Scottsdale, AZ

Active since June 05, 2023
12816 E TURQUOISE AVE, SCOTTSDALE, AZ 85259(480) 912-3105(480) 477-7894 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soul Surgery Wilson Smith Center Llc NPPES

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

SOUL SURGERY WILSON SMITH CENTER LLC (NPI 1699469593) is a healthcare organization registered as a substance abuse rehabilitation facility in Scottsdale, Arizona and active in the NPI registry since June 2023. The organization lists Michael Goldenberg, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699469593
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOUL SURGERY WILSON SMITH CENTER LLC
Location Address12816 E TURQUOISE AVEScottsdale, AZ 85259-5300
Mailing AddressPo Box 12434Scottsdale, AZ 85267-2434
Phone(480) 912-3105
Fax(480) 477-7894
Organization SubpartNo
Authorized OfficialMichael GoldenbergAdministrator · (480) 912-3105
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1699469593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12816 E TURQUOISE AVE, Scottsdale, AZ 85259
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Other Providers at the Same Location NPPES 3

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

PB MEDICAL GROUP OF ARIZONA, LLC
Substance Abuse Rehabilitation Facility
12816 E TURQUOISE AVE
SCOTTSDALE, AZ 85259
Maricopa County (480) 840-2588
EBH SOUTHWEST SERVICES, INC.
Substance Abuse Rehabilitation Facility
12816 E TURQUOISE AVE
SCOTTSDALE, AZ 85259
Maricopa County (480) 840-2588
SUNDANCE ACADEMY
Substance Abuse Rehabilitation Facility
12816 E TURQUOISE AVE
SCOTTSDALE, AZ 85259
Maricopa County (480) 773-7329

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 Soul Surgery Wilson Smith Center LLC's NPI number?

The NPI number for Soul Surgery Wilson Smith Center LLC is 1699469593. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Soul Surgery Wilson Smith Center LLC located?

Soul Surgery Wilson Smith Center LLC is located at 12816 E Turquoise Ave, Scottsdale, AZ 85259. The listed phone number is (480) 912-3105.

What is Soul Surgery Wilson Smith Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Soul Surgery Wilson Smith Center LLC was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.