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

Life Changing Wellness & Treatment Center LLC

Organization Community/Behavioral Health Agency · NPI 1588383616

Life Changing Wellness & Treatment Center LLC is a Community/Behavioral Health Agency in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

4831 N 35th Ave
Phoenix, AZ 85017-3011
Phone: (702) 418-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1588383616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Bustos — Ceo · (702) 418-6930
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing address4831 N 35th Ave, Phoenix, AZ 85017-3011

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