1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Clinic Center
  6. NPI Profile

MENTAL HEALTH WELLNESS BOUTIQUE
NPI 1972266757
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glendale, AZ

Active since October 18, 2021
18001 N 79TH AVE STE B48, GLENDALE, AZ 85308(888) 906-8301(623) 404-6602 Get Directions Write a Review

NPPES record last updated: August 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2024, Feb 25, 2022, Oct 18, 2021 (3 updates tracked since 2021).

About Mental Health Wellness Boutique NPPES

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

MENTAL HEALTH WELLNESS BOUTIQUE (NPI 1972266757) is a healthcare organization registered as a mental health (including community mental health center) in Glendale, Arizona and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Peoria and lists Irina Ashamalla, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972266757
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENTAL HEALTH WELLNESS BOUTIQUE
Location Address18001 N 79TH AVE STE B48Glendale, AZ 85308-8393
Mailing Address18001 N 79th Ave Ste B48Glendale, AZ 85308-8393 · (888) 906-8301 · Fax (623) 404-6602
Phone(888) 906-8301
Fax(623) 404-6602
Organization SubpartNo
Authorized OfficialIrina AshamallaCeo · (888) 906-8301
Enumeration DateOctober 18, 2021
Last NPPES UpdateAugust 11, 20243 updates tracked since enumeration
NPPES CertifiedAugust 11, 2024
✔ NPI 1972266757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
18001 N 79TH AVE STE B48, Glendale, AZ 85308
Open in Google Maps ↗

Secondary Practice Location 1

Location 110210 W Happy Valley Pkwy Ste 145Peoria, AZ 85383-2881 · Phone (888) 906-8301 · Fax (623) 404-6602

Other Identifiers 1

Other1205365772AZ · Individual Npi

Other Providers at the Same Location NPPES 2

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

MRS. IRINA VLADIMIROVNA ASHAMALLA MSN, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
18001 N 79TH AVE STE B48
GLENDALE, AZ 85308
Maricopa County (888) 906-8301
SUZANNA CANO-KING LAC
Counselor (Mental Health)
18001 N 79TH AVE STE B48
GLENDALE, AZ 85308
Maricopa County (602) 363-0629

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 Mental Health Wellness Boutique's NPI number?

The NPI number for Mental Health Wellness Boutique is 1972266757. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is Mental Health Wellness Boutique located?

Mental Health Wellness Boutique is located at 18001 N 79th Ave Ste B48, Glendale, AZ 85308. The listed phone number is (888) 906-8301.

What is Mental Health Wellness Boutique'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.

When was this NPI record last updated?

The NPPES record for Mental Health Wellness Boutique was last updated on August 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.