# I WANT TO BE HEALTHY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538533013
- **Authorized official:** LUCHIA LYNNETTE YOUNG (PROVIDER)
- **Authorized official phone:** (832) 964-4022

## Contact information

- **Practice address:** 18247 N TOYA ST, MARICOPA, AZ 85138-2905
- **Practice address phone:** (832) 964-4022
- **Practice address fax:** (347) 960-4805
- **Mailing address:** 18247 N TOYA ST, MARICOPA, AZ 85138-2905
- **Mailing address phone:** (832) 964-4022
- **Mailing address fax:** (347) 960-4805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | AP3446 | AZ | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP5602 | AZ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 10/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Z184231 | MEDICARE PTAN | AZ |