Blooming Agave Wellness LLC
Blooming Agave Wellness LLC is an Adult Mental Health Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4117 N 17th StPhoenix, AZ 85016-5921
Phone: (623) 239-2312
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1053144154 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Phillips — Therapist/Owner · (970) 260-8286 |
| NPI enumerated | August 23, 2024 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
| Mailing address | 16609 N 34th Pl, Phoenix, AZ 85032-2776 |
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