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INDIGO CREST WELLNESS LLC
NPI 1811683154
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since April 11, 2023
2960 E NORTHERN AVE, PHOENIX, AZ 85028(602) 341-6977 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indigo Crest Wellness Llc NPPES

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

INDIGO CREST WELLNESS LLC (NPI 1811683154) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since April 2023. The organization lists Lester Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1811683154
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameINDIGO CREST WELLNESS LLC
Location Address2960 E NORTHERN AVEPhoenix, AZ 85028-4845
Mailing Address2960 E Northern AvePhoenix, AZ 85028-4845 · (602) 341-6977
Phone(602) 341-6977
Organization SubpartNo
Authorized OfficialLester ShawOwner · (602) 341-6977
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1811683154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2960 E NORTHERN AVE, Phoenix, AZ 85028
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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 Indigo Crest Wellness LLC's NPI number?

The NPI number for Indigo Crest Wellness LLC is 1811683154. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Indigo Crest Wellness LLC located?

Indigo Crest Wellness LLC is located at 2960 E Northern Ave, Phoenix, AZ 85028. The listed phone number is (602) 341-6977.

What is Indigo Crest Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Indigo Crest Wellness LLC was last updated on April 11, 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.