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

Seaside Sanctuary Clinic LLC

Organization Specialist · NPI 1285784082

Seaside Sanctuary Clinic LLC is a Specialist in Flagstaff, Arizona. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
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

2401 W Route 66 #24
Flagstaff, AZ 86001-8761
Phone: (361) 463-1353
Fax: (215) 261-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence K6250 (TX)

Record details

NPI number1285784082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Meadows — Director · (361) 463-1353
Other names Mary C. Meadows, N.D.
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2401 W Route 66, 24, Flagstaff, AZ 86001-8761

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