EMBARK WELLNESS CENTER LLC – NPI #1912645433
Clinic/Center

EMBARK WELLNESS CENTER LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1912645433 to EMBARK WELLNESS CENTER LLC on May 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMBARK WELLNESS CENTER LLC below.

NPI Profile for
EMBARK WELLNESS CENTER LLC

NPI Number
1912645433
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EMBARK WELLNESS CENTER LLC
Primary location
1717 W NORTHERN AVE STE 209
PHOENIX, AZ 85021-5471
Phone: (239) 745-2517 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEDHA ALCE
OWNER
Phone: (239) 745-2517
Updated
Certification Date
May 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.