# I AM WELLNESS AZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** I AM WELLNESS AZ LLC
- **Other names:** Success Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376372078
- **Legal business name:** I AM WELLNESS AZ LLC
- **Authorized official:** SARA RATNER (PRESIDENT, GOVERNMENT PROGRAMS)
- **Authorized official phone:** (480) 900-9355

## Contact information

- **Practice address:** 24601 N 29TH AVE STE 157, PHOENIX, AZ 85083-1165
- **Practice address phone:** (480) 900-9355
- **Mailing address:** 898 N 1200 W STE 201, OREM, UT 84057-3558
- **Mailing address phone:** (385) 499-5349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 08/02/2024