Organization
MINDFUL WELLNESS OF AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WELLENGTEN JENKINS (MANAGING PARTNER)
(602) 421-6661
Entity
Organization
Contact information
Practice address
8751 N 51ST AVE STE 108, GLENDALE, AZ 85302-4943
(520) 329-5283
Mailing address
8751 N 51ST AVE STE 108, GLENDALE, AZ 85302-4943
(520) 329-5283
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874442042
—
AZ
Enumeration date
04/28/2022
Last updated
04/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us