Small Victories Wellness Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SMALL VICTORIES WELLNESS CLINIC LLC

Practice address

15640 N 7TH St BLDG B
Phoenix, AZ 85022-3512

Phone

(469) 774-9195

NPI assigned

Mar 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashel Chingaya

Title

Ceo

Phone

(469) 774-9159

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1033819362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST BLDG B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "469-774-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST BLDG B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "469-774-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL VICTORIES WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "CHINGAYA",
        "authorized_official_first_name": "ASHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-774-9159"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLP Services, Inc
• Megan Sluga
• Yevgeniy M Slutskiy, MC/LPC
• SM Health PLLC
• Katherine Smailis
• Jessyca Ann Small, RN
• Leigh Small, PHD, RN, CPNP-PC
• Randi Su Small, PTA
• Renee Small
• Anthony Smallcanyon, NP

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.