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Imani Wellness Llc
Psychiatric/Mental Health Nurse Practitioner in Coolidge, Arizona
NPI 1679168454

Imani Wellness Llc is a Psychiatric/Mental Health Nurse Practitioner based in Coolidge, AZ and is specialized in Psychiatric/Mental Health. Imani Wellness Llc practices in Coolidge, AZ. The NPI Number for Imani Wellness Llc is 1679168454 and holds a License No. (Arizona).

The current practice location address for Imani Wellness Llc is 250 W Pinkley Ave, Coolidge, AZ and can be reached out via phone at 515-419-5096.

Location: 250 W Pinkley Ave, Coolidge, AZ, 85128-4311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679168454
Provider Name
Imani Wellness Llc
Credential
Provider Entity Type
Organization
Address
250 W Pinkley Ave, Coolidge, AZ, 85128-4311
Phone Number
515-419-5096
Fax Number
Provider Enumeration Date
03/04/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
250 W Pinkley Ave
City
Coolidge
State
Arizona
Zip
85128-4311
Phone Number
515-419-5096
Fax Number
person
Provider Business Mailing Address Details
Address
250 W Pinkley Ave
City
Coolidge
State
Arizona
Zip
85128-4311
Phone Number
515-419-5096
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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