Healthcare Provider Details

I. General information

NPI: 1134921364
Provider Name (Legal Business Name): HEALTH & WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 E SHEA BLVD STE 1001
SCOTTSDALE AZ
85260-6991
US

IV. Provider business mailing address

9375 E SHEA BLVD STE 1001
SCOTTSDALE AZ
85260-6991
US

V. Phone/Fax

Practice location:
  • Phone: 623-282-4050
  • Fax: 810-209-9058
Mailing address:
  • Phone: 623-282-4050
  • Fax: 810-209-9058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STARR RAPETA
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 623-282-4050