Healthcare Provider Details

I. General information

NPI: 1225845233
Provider Name (Legal Business Name): MEND HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W UNIVERSITY AVE STE 112
FLAGSTAFF AZ
86001-3154
US

IV. Provider business mailing address

1600 W UNIVERSITY AVE STE 112
FLAGSTAFF AZ
86001-3154
US

V. Phone/Fax

Practice location:
  • Phone: 928-224-8452
  • Fax:
Mailing address:
  • Phone: 928-224-8452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SARAH LAUZON
Title or Position: CFO
Credential: CFO
Phone: 928-224-8452