Healthcare Provider Details

I. General information

NPI: 1457243404
Provider Name (Legal Business Name): ALIUM HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2242 W SOUTHERN AVE
MESA AZ
85202-4704
US

IV. Provider business mailing address

7425 E SHEA BLVD STE 107
SCOTTSDALE AZ
85260-6411
US

V. Phone/Fax

Practice location:
  • Phone: 480-750-0095
  • Fax: 480-750-0095
Mailing address:
  • Phone: 480-750-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW ELLIOTT
Title or Position: CEO
Credential:
Phone: 480-750-0095