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

Mental Health Wellness Boutique

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1972266757

Mental Health Wellness Boutique is a Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, Arizona. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

18001 N 79th Ave Ste B48
Glendale, AZ 85308-8393
Phone: (888) 906-8301
Fax: (623) 404-6602
Show map & directions

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

Additional practice locations (1)

  • 10210 W Happy Valley Pkwy Ste 145, Peoria, AZ 85383-2881 — (888) 906-8301

Specialties & licences

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

Record details

NPI number1972266757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irina Ashamalla — Ceo · (888) 906-8301
NPI enumeratedOctober 18, 2021
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024
Mailing address18001 N 79th Ave Ste B48, Glendale, AZ 85308-8393

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