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

Grand Canyon Wellness Center

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1356919583

Grand Canyon Wellness Center is a Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

2423 W Dunlap Ave Ste 110
Phoenix, AZ 85021-2830
Phone: (702) 677-7410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1356919583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niecey Bolden — Owner · (702) 677-7410
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021
Mailing address2423 W Dunlap Ave Ste 110, Phoenix, AZ 85021-2830

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