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

Holistic Psychiatry and Wellness Center LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1518836204

Holistic Psychiatry and Wellness Center LLC is a Psychiatric/Mental Health Nurse Practitioner in Vail, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

1192 N Range Rider Pl
Vail, AZ 85641-1560
Phone: (315) 547-0502
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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 number1518836204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sussan Goldsworthy — Owner · (315) 547-0502
NPI enumeratedNovember 1, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address1192 N Range Rider Pl, Vail, AZ 85641-1560

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