Organization
IMANI WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE ROP (OWNER)
(515) 419-5096
Entity
Organization
Contact information
Practice address
250 W PINKLEY AVE, COOLIDGE, AZ 85128-4311
(515) 419-5096
Mailing address
250 W PINKLEY AVE, COOLIDGE, AZ 85128-4311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/04/2021
Last updated
02/18/2022
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