Vitalis Wellness Center of Phoenix, Az PC
Vitalis Wellness Center of Phoenix, Az PC is a Brain Injury Medicine (Psychiatry & Neurology) Physician in Mesa, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1910 S Stapley Dr Ste 120Mesa, AZ 85204-6676
Phone: (800) 922-1873
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Brain Injury Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084P0301X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
Record details
| NPI number | 1497421101 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nellie Samuel — Co-Owner · (800) 922-1873 |
| Other names | Vitalis Wellness Center, Az Pc; Vitalis Wellness Center, Az Pc |
| NPI enumerated | August 22, 2021 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 16, 2024 |
| Mailing address | 1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676 |