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DERMAL WELLNESS GROUP LLC
NPI 1881579100
Specialist/Technologist, Other in Phoenix, AZ

Active since August 06, 2025
4425 E AGAVE RD STE 106, PHOENIX, AZ 85044(407) 982-4876(407) 650-2754 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermal Wellness Group Llc NPPES

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

DERMAL WELLNESS GROUP LLC (NPI 1881579100) is a healthcare organization registered as a specialist/technologist, other in Phoenix, Arizona and active in the NPI registry since August 2025. The organization lists Fariba Nowtash, Owner, as its authorized official.

NPPES Registry Identity

NPI1881579100
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameDERMAL WELLNESS GROUP LLC
Location Address4425 E AGAVE RD STE 106Phoenix, AZ 85044-0620
Mailing Address4425 E Agave Rd Ste 106Phoenix, AZ 85044-0620 · (407) 982-4876 · Fax (407) 650-2754
Phone(407) 982-4876
Fax(407) 650-2754
Organization SubpartNo
Authorized OfficialFariba NowtashOwner · (602) 318-7273
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1881579100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
4425 E AGAVE RD STE 106, Phoenix, AZ 85044
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

THE HUMMINGBIRD PATH LLC
Social Worker (Clinical)
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (623) 295-9327
FARIBA NOWTASH
Specialist/Technologist, Other
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (407) 982-4876
CYNTHIA DJENGUE LCSW
Social Worker (Clinical)
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (623) 295-9327
CHAREE E WASHINGTON LCSW
Social Worker (Clinical)
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (602) 526-9149
FAMILY TREE THERAPY SERVICES LLC
Counselor (Professional)
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (480) 248-5338
DESIREE DIAZ MA, LPC
Counselor (Professional)
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (602) 830-2004
DR. ERICA D. WADAS MD
Internal Medicine
4425 E AGAVE RD STE 106
PHOENIX, AZ 85044
Maricopa County (480) 447-9184

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 Dermal Wellness Group LLC's NPI number?

The NPI number for Dermal Wellness Group LLC is 1881579100. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Dermal Wellness Group LLC located?

Dermal Wellness Group LLC is located at 4425 E Agave Rd Ste 106, Phoenix, AZ 85044. The listed phone number is (407) 982-4876.

What is Dermal Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Dermal Wellness Group LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.