Healthcare Provider Details

I. General information

NPI: 1528982311
Provider Name (Legal Business Name): UNION WELLNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 N CENTRAL AVE STE 700
PHOENIX AZ
85012-2714
US

IV. Provider business mailing address

3030 N CENTRAL AVE STE 704
PHOENIX AZ
85012-3054
US

V. Phone/Fax

Practice location:
  • Phone: 832-546-3216
  • Fax:
Mailing address:
  • Phone: 832-546-3216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PASCAL KAREKEZI
Title or Position: MANAGER
Credential:
Phone: 832-546-3216