Indigo Crest Wellness Llc

LBN: Indigo Crest Wellness Llc
Indigo Crest Wellness Llc is an health care organization with primary practice located at 2960 E Northern Ave , Phoenix AZ 85028-4845. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Indigo Crest Wellness Llc can be contacted via phone (602) 341-6977, or through Shaw, Lester via phone (602) 341-6977.

Contact Information

Primary practice address
2960 E Northern Ave Phoenix AZ 85028-4845
Phone: (602) 341-6977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Lester
Phone: (602) 341-6977

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1811683154
LBN Legal business name Indigo Crest Wellness Llc
DBA Doing business as
Authorized official Shaw, Lester
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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