Organization
PEARL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATUMA NAMUSISI (CEO)
(602) 753-6352
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 212, PHOENIX, AZ 85021-5469
(602) 753-6352
Mailing address
1717 W NORTHERN AVE STE 212, PHOENIX, AZ 85021-5469
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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