Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Wellness Psychiatric Services PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1245007210

Divine Wellness Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Phone: (602) 465-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1245007210
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iheanyi Amanwanne — Owner · (602) 465-6011
NPI enumeratedDecember 8, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address3880 W Ranier Ct Ste 183, Anthem, AZ 85086-8018

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