SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER
NPI 1740931625
Clinic/Center - Mental Health (Including Community Mental Health Center) in Avondale, AZ
About Spirit-mind-body Outpatient Treatment Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER (NPI 1740931625), doing business as Spirit-mind-body Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Avondale, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Ezinne Iroku, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2273742
Spirit-Mind-Body Healthcare PLLC · Avondale, AZOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AVONDALE, AZ 85323
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 Spirit-Mind-Body Healthcare PLLC's NPI number?
The NPI number for Spirit-Mind-Body Healthcare PLLC is 1740931625. It was assigned to this organization in the NPPES registry on January 12, 2022. The provider is doing business as Spirit-Mind-Body Behavioral Health. The provider is also known as Spirit-Mind-Body Outpatient Treatment Center.
Where is Spirit-Mind-Body Healthcare PLLC located?
Spirit-Mind-Body Healthcare PLLC is located at 9950 W Van Buren St Ste 115, Avondale, AZ 85323. The listed phone number is (623) 218-6691.
What is Spirit-Mind-Body Healthcare PLLC'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.
Does Spirit-Mind-Body Healthcare PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2273742) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Spirit-Mind-Body Healthcare PLLC was last updated on January 12, 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.
# Spirit-Mind-Body Outpatient Treatment Center · NPI 1740931625
Mental Health (Including Community Mental Health Center) organization in Avondale, Arizona. Organization record, active in the CMS NPPES registry since January 12, 2022.
## Identity
- **NPI:** 1740931625 (Entity type: Organization)
- **Enumerated:** January 12, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Spirit-Mind-Body Healthcare Pllc
- **Also known as:** Spirit-Mind-Body Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ezinne Iroku, CEO
## Practice location
- **Address:** 9950 W VAN BUREN ST STE 115, Avondale, AZ 85323-5318
- **Phone:** (623) 218-6691
## Record status
- **NPPES last updated:** January 12, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1740931625) · Data from the CMS NPPES public registry.