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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLOOMING AGAVE WELLNESS LLC

Active Organization

BLOOMING AGAVE WELLNESS LLC is a Adult Mental Health Clinic organization located in PHOENIX, Arizona. NPI 1053144154 is currently active in the NPPES registry. Verify at CMS.

Adult Mental Health Clinic · PHOENIX, AZ

Registration Details

NPI Number
1053144154
Provider Type
Organization
NPI Issued
Aug 23, 2024 (2.0224035186323 yrs)
Last Updated
Aug 23, 2024

Practice Information

Address
4117 N 17TH ST
PHOENIX, AZ, 850165921
Browse AZ providers · Browse ZIP 85016
Phone
6232392312
Primary Specialty
Adult Mental Health Clinic
261QM0850X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.