Healthcare Provider Details
I. General information
NPI: 1740117084
Provider Name (Legal Business Name): NEW CIRCLE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4040 E MCDOWELL RD FL 5
PHOENIX AZ
85008-4414
US
IV. Provider business mailing address
1255 N ARIZONA AVE UNIT 1163
CHANDLER AZ
85225-0708
US
V. Phone/Fax
- Phone: 216-577-7103
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
GERMANY
Title or Position: OWNER
Credential:
Phone: 216-577-7103