Organization
PLATINUM WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAJE KAKOOZA (CHIEF EXECUTIVE OFFICER)
(323) 251-7313
Entity
Organization
Contact information
Practice address
2720 E THOMAS RD STE 190B, PHOENIX, AZ 85016-8251
(323) 251-7313
Mailing address
2720 E THOMAS RD STE 190B, PHOENIX, AZ 85016-8251
(323) 251-7313
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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