# PIVOT WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1427898675
- **Authorized official:** SARITA EDWARDS (MANAGING MEMBER)
- **Authorized official phone:** (404) 680-6887

## Contact information

- **Practice address:** 10654 N 60TH AVE APT 2019, GLENDALE, AZ 85304-3784
- **Practice address phone:** (404) 680-6887
- **Mailing address:** 10654 N 60TH AVE APT 2019, GLENDALE, AZ 85304-3784
- **Mailing address phone:** (404) 680-6887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2024
- **Last updated:** 05/27/2024