# M & I WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184407025
- **Authorized official:** MOHAMED BOCKARIE (OWNER)
- **Authorized official phone:** (602) 330-2202

## Contact information

- **Practice address:** 2401 W GLENDALE AVE STE 104, PHOENIX, AZ 85021-7621
- **Practice address phone:** (602) 330-2202
- **Mailing address:** 2401 W GLENDALE AVE STE 104, PHOENIX, AZ 85021-7621
- **Mailing address phone:** (602) 330-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2023
- **Last updated:** 08/15/2023
