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

Fourth Wall Wellness LLC

Organization Mental Health Counselor · NPI 1124869581

Fourth Wall Wellness LLC is a Mental Health Counselor in Tucson, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6137 E Grant Rd
Tucson, AZ 85712-5829
Phone: (520) 436-3922
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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
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1124869581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aurora Thrush — Member · (720) 232-7784
NPI enumeratedJune 1, 2024
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address6137 E Grant Rd, Tucson, AZ 85712-5829

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