Healthcare Provider Details

I. General information

NPI: 1336051952
Provider Name (Legal Business Name): AZ MEDICAL & PSYCHIATRIC WELLNESS GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 N 3RD AVE STE B
PHOENIX AZ
85013-4304
US

IV. Provider business mailing address

PO BOX 16284
PHOENIX AZ
85011-6284
US

V. Phone/Fax

Practice location:
  • Phone: 480-717-9511
  • Fax:
Mailing address:
  • Phone: 480-717-9511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ALMAGUER
Title or Position: OWNER
Credential:
Phone: 480-717-9511