Organization
MIREILLE WELLNESS CLINIC
Active
Other names
Mireille Wellness Clinic, MWC
Organization subpart
No
Provider details
NPI number
Authorized official
MIREILLE MUKIZA RBT (OWNER)
(623) 314-5607
Entity
Organization
Contact information
Practice address
1601 N 7TH ST STE 340, PHOENIX, AZ 85006-2223
(602) 314-5607
(602) 314-6307
Mailing address
1601 N 7TH ST STE 340, PHOENIX, AZ 85006-2223
(602) 314-5607
(602) 314-6307
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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