Wisteria Mental Health & Wellness Center PLLC
Wisteria Mental Health & Wellness Center PLLC is a Child & Adolescent Psychiatry Physician in Phoenix, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 W Echo LnPhoenix, AZ 85021-5554
Phone: (480) 399-8455
Fax: (866) 845-1832
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X |
|---|
Record details
| NPI number | 1194413419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roberto Bracamonte Valencia — Ceo · (602) 350-3046 |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
| Mailing address | 14802 N 18th Pl, Phoenix, AZ 85022-3925 |
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